Organization Active NPI

Clarion Health Care

  • Skilled Nursing Facility
  • Clarion, IA
National Provider Identifier
1467459073
Registry record updated Sep 13, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Skilled Nursing FacilityTaxonomy code 314000000X
License
990752 Issued in IA
Legal business name
CLARION HEALTH CARE
Practice address
110 13TH Ave SW
Clarion, IA 50525-2004
Phone
(515) 532-2893
Fax
(515) 532-2782
NPI assigned
Jun 29, 2005
Last updated
Sep 13, 2007By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 13, 2007

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

Authorized official

Name
Mrs. Stephanie Stewart
Title
Administrator
Phone
(515) 532-2893

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Skilled Nursing Facility 314000000X 990752 IA Primary

Addresses

Primary practice location

110 13TH Ave SW
Clarion, IA 50525-2004

Mailing address

110 13TH Ave SW
Clarion, IA 50525-2004
Phone (515) 532-2893

Other identifiers 2

IdentifierTypeStateIssuer
65362OtherIABCBS PROVIDER#
0804914MedicaidIA

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1120003200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1189641600000",
    "number": "1467459073",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "110 13TH AVE SW",
            "city": "CLARION",
            "state": "IA",
            "postal_code": "505252004",
            "telephone_number": "515-532-2893",
            "fax_number": "515-532-2782"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "110 13TH AVE SW",
            "city": "CLARION",
            "state": "IA",
            "postal_code": "505252004",
            "telephone_number": "515-532-2893",
            "fax_number": "515-532-2782"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CLARION HEALTH CARE",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-06-29",
        "last_updated": "2007-09-13",
        "status": "A",
        "authorized_official_last_name": "STEWART",
        "authorized_official_first_name": "STEPHANIE",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "515-532-2893",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "IA",
            "license": "990752",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS PROVIDER#",
            "identifier": "65362",
            "state": "IA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0804914",
            "state": "IA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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 Sep 13, 2007; 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.