Mediapolis Care Facility Inc

Primary specialty

Nursing Facility/Intermediate Care FacilityTaxonomy code 313M00000X

License

R0360 Issued in IA

Legal business name

MEDIAPOLIS CARE FACILITY INC

Practice address

142 N Orchard
Mediapolis, IA 52637

Phone

(319) 394-3432

Fax

(319) 394-3732

NPI assigned

Dec 13, 2006

Last updated

Jul 3, 2012By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Russell Ray Hutchinson

Title

Administrator Owner

Phone

(319) 394-3432

Specialties & licenses 1

Addresses

Other identifiers 2

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

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

{
    "created_epoch": "1165968000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1341273600000",
    "number": "1427119353",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 129",
            "address_2": "142 N ORCHARD",
            "city": "MEDIAPOLIS",
            "state": "IA",
            "postal_code": "52637",
            "telephone_number": "319-394-3432",
            "fax_number": "319-394-3732"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "142 N ORCHARD",
            "city": "MEDIAPOLIS",
            "state": "IA",
            "postal_code": "52637",
            "telephone_number": "319-394-3432",
            "fax_number": "319-394-3732"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MEDIAPOLIS CARE FACILITY INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-12-13",
        "last_updated": "2012-07-03",
        "status": "A",
        "authorized_official_last_name": "HUTCHINSON",
        "authorized_official_first_name": "RUSSELL",
        "authorized_official_middle_name": "RAY",
        "authorized_official_title_or_position": "ADMINISTRATOR OWNER",
        "authorized_official_telephone_number": "319-394-3432"
    },
    "taxonomies": [
        {
            "code": "313M00000X",
            "taxonomy_group": "",
            "desc": "Nursing Facility/Intermediate Care Facility",
            "state": "IA",
            "license": "R0360",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0894931",
            "state": "IA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "IOWA ACET",
            "identifier": "2003358",
            "state": "IA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Nancy Terese Engelhardt, DC
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• Sarah Nicole McVey, OTR/L
• Mediapolis Chiropractic Center, PLLC
• Mediapolis CSD
• James D Miller, DC
• Shannon Michelle Mohr, RPH
• Aaron Roelfs, D.C.

• Nursing Facility/Intermediate Care Facility in Mediapolis, IA
• Providers in Mediapolis, IA by specialty
• Nursing Facility/Intermediate Care Facility in Iowa

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 3, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.