Organization Active NPI

Iowa Donor Network

  • Organ Procurement Organization
  • North Liberty, IA
National Provider Identifier
1437671054
Registry record updated Jul 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Organ Procurement OrganizationTaxonomy code 335U00000X
Legal business name
IOWA DONOR NETWORK
Practice address
550 Madison Ave N
North Liberty, IA 52317-8401
Phone
(319) 665-3787
Fax
(319) 665-3788
NPI assigned
Jul 14, 2017
Last updated
Jul 21, 2022By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 21, 2022

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

Authorized official

Name
Mrs. Suzanne Lane Conrad
Title
Ceo
Phone
(319) 665-3787

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Organ Procurement Organization 335U00000X IA Primary

Addresses

Primary practice location

550 Madison Ave N
North Liberty, IA 52317-8401

Mailing address

550 Madison Ave N
North Liberty, IA 52317-8401
Phone (319) 665-3787

Other practice location 1

320 Adventureland Dr NW
Altoona, IA 50009-4234
Phone (515) 727-7897

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20040303000581 IA Part A Provider - Organ Procurement Organization (Opo) 2860389897 Practice locations: Altoona, IA; North Liberty, IA

National Provider Directory

National Provider Directory

Locations

320 Adventureland Dr NW
Altoona, IA 50009
Phone (515) 727-7897

2732 Northgate Dr
Iowa City, IA 52245
Phone (319) 337-7515

8191 Birchwood Ct
Johnston, IA 50131
Phone (515) 727-7897

550 N Madison Ave
North Liberty, IA 52317
Phone (319) 665-3787

Practitioners & affiliated clinicians

Practitioners 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1499990400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1658361600000",
    "number": "1437671054",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "550 MADISON AVE N",
            "city": "NORTH LIBERTY",
            "state": "IA",
            "postal_code": "523178401",
            "telephone_number": "319-665-3787",
            "fax_number": "319-665-3788"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "550 MADISON AVE N",
            "city": "NORTH LIBERTY",
            "state": "IA",
            "postal_code": "523178401",
            "telephone_number": "319-665-3787",
            "fax_number": "319-665-3788"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "320 Adventureland Dr NW",
            "address_purpose": "LOCATION",
            "city": "Altoona",
            "state": "IA",
            "postal_code": "500094234",
            "country_code": "US",
            "telephone_number": "515-727-7897",
            "fax_number": "515-727-7911",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "IOWA DONOR NETWORK",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-07-14",
        "last_updated": "2022-07-21",
        "status": "A",
        "authorized_official_last_name": "CONRAD",
        "authorized_official_first_name": "SUZANNE",
        "authorized_official_middle_name": "LANE",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "319-665-3787",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "335U00000X",
            "taxonomy_group": "",
            "desc": "Organ Procurement Organization",
            "state": "IA",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in North Liberty, IA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; 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.