Organization Active NPI

Central Iowa Healthcare

Doing business as CIH Marshalltown Clinic

  • Rural Health Clinic/Center
  • Marshalltown, IA
National Provider Identifier
1386898104
Registry record updated Apr 5, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Rural Health Clinic/CenterTaxonomy code 261QR1300X
Legal business name
CENTRAL IOWA HEALTHCARE
Doing business as
CIH Marshalltown Clinic
Practice address
405 E Main St
First Floor
Marshalltown, IA 50158-1928
Phone
(641) 754-5151
Fax
(641) 844-6208
NPI assigned
Nov 6, 2008
Last updated
Apr 5, 2017By the provider in NPPES
Organization subpart
Yes
Parent organization
CENTRAL IOWA HEALTHCAREAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Apr 5, 2017

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Ms. Dawnett L. Willis
Title
Acting Ceo
Phone
(641) 754-5145

Specialties & licenses 10

Specialty (taxonomy)CodeLicenseStatePrimary
Rural Health Clinic/Center 261QR1300X NU Primary
Physician Assistant 363A00000X NU
Nurse Practitioner 363L00000X NU
Certified Registered Nurse Anesthetist 367500000X NU
Pain Medicine (Anesthesiology) Physician 207LP2900X NU
Family Medicine Physician 207Q00000X NU
Internal Medicine Physician 207R00000X NU
Orthopaedic Surgery Physician 207X00000X NU
Surgery Physician 208600000X NU
Podiatrist 213E00000X NU

Addresses

Primary practice location

405 E Main St
First Floor
Marshalltown, IA 50158-1928

Mailing address

3 S 4TH Ave
Marshalltown, IA 50158-2998
Phone (641) 754-5145

Other names 1

  • CIH Marshalltown Clinic Doing business as

National Provider Directory

National Provider Directory
Part of
Bio Lab

Locations

405 E Main St
Marshalltown, IA 50158
Phone (641) 753-2752

Ownership & related parties

Parent organization (reported in NPPES) 1

This organization reports itself as a subpart in NPPES; the parent’s legal name matches this organization in the same state.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1225929600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1491350400000",
    "number": "1386898104",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3 S 4TH AVE",
            "city": "MARSHALLTOWN",
            "state": "IA",
            "postal_code": "501582998",
            "telephone_number": "641-754-5145",
            "fax_number": "641-844-6208"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "405 E MAIN ST",
            "address_2": "FIRST FLOOR",
            "city": "MARSHALLTOWN",
            "state": "IA",
            "postal_code": "501581928",
            "telephone_number": "641-754-5151",
            "fax_number": "641-844-6208"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CENTRAL IOWA HEALTHCARE",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "CENTRAL IOWA HEALTHCARE",
        "enumeration_date": "2008-11-06",
        "last_updated": "2017-04-05",
        "status": "A",
        "authorized_official_last_name": "WILLIS",
        "authorized_official_first_name": "DAWNETT",
        "authorized_official_middle_name": "L.",
        "authorized_official_title_or_position": "ACTING CEO",
        "authorized_official_telephone_number": "641-754-5145",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "261QR1300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Rural Health",
            "state": "NU",
            "license": null,
            "primary": true
        },
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "207LP2900X",
            "taxonomy_group": "",
            "desc": "Anesthesiology, Pain Medicine",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "207X00000X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "213E00000X",
            "taxonomy_group": "",
            "desc": "Podiatrist",
            "state": "NU",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "CIH Marshalltown Clinic",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Marshalltown, IA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 5, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.