NPIMap

Organization Active NPI

Iowa Specialty Hospital- Clarion

Doing business as Clarion Clinic

  • Rural Health Clinic/Center
  • Clarion, IA
National Provider Identifier
1417972258
Registry record updated Dec 11, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Rural Health Clinic/CenterTaxonomy code 261QR1300X
License
990177H Issued in IA
Legal business name
IOWA SPECIALTY HOSPITAL- CLARION
Doing business as
Clarion Clinic
Practice address
215 13TH Ave SW
Clarion, IA 50525-2078
Phone
(515) 532-2836
Fax
(515) 532-2523
NPI assigned
Jul 13, 2006
Last updated
Dec 11, 2019By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 11, 2019

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

Authorized official

Name
Steve Simonin
Title
Ceo
Phone
(515) 532-9333

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Rural Health Clinic/Center 261QR1300X 990177H IA Primary

Addresses

Primary practice location

215 13TH Ave SW
Clarion, IA 50525-2078

Mailing address

215 13TH Ave SW
Clarion, IA 50525-2078
Phone (515) 532-2836

Other names 1

  • Clarion Clinic Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20031120000622 IA Part B Supplier - Clinic/Group Practice 3375451347 Receives reassigned benefits from 171 practitioners
2 other NPIs on this enrollment
This NPI is an additional NPI on the enrollment
Practice locations: Boone, IA; Webster City, IA; North Liberty, IA; Mason City, IA; Humboldt, IA; Fort Dodge, IA; Clear Lake, IA; Clarion, IA…

Other NPIs on the same Medicare enrollment 2

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

National Provider Directory

National Provider Directory
Tax ID family
Iowa Specialty Hospital- Clarion22 organizations share this tax ID, including this one

Other organizations with this tax ID 21

Organizations that report the same tax identification number in the National Provider Directory.

View all 21

Practitioners & affiliated clinicians

Practitioners 17

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

View all 17

NPI Registry JSON

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

{
    "created_epoch": "1152748800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1576022400000",
    "number": "1417972258",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "215 13TH AVE SW",
            "city": "CLARION",
            "state": "IA",
            "postal_code": "505252078",
            "telephone_number": "515-532-2836",
            "fax_number": "515-532-2523"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "215 13TH AVE SW",
            "city": "CLARION",
            "state": "IA",
            "postal_code": "505252078",
            "telephone_number": "515-532-2836",
            "fax_number": "515-532-2523"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "IOWA SPECIALTY HOSPITAL- CLARION",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-13",
        "last_updated": "2019-12-11",
        "certification_date": "2019-12-11",
        "status": "A",
        "authorized_official_last_name": "SIMONIN",
        "authorized_official_first_name": "STEVE",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "515-532-9333"
    },
    "taxonomies": [
        {
            "code": "261QR1300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Rural Health",
            "state": "IA",
            "license": "990177H",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Clarion Clinic",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Clarion Clinic",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Clarion, IA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 11, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.