Iowa Physicians Clinic Medical Foundation

Primary specialty

Rural Health Clinic/CenterTaxonomy code 261QR1300X

Legal business name

IOWA PHYSICIANS CLINIC MEDICAL FOUNDATION

Doing business as

Unitypoint Clinic Family Medicine Eagle Grove

Practice address

115 S Park Ave
Eagle Grove, IA 50533-2219

Phone

(515) 448-5185

Fax

(515) 448-4405

NPI assigned

Aug 4, 2016

Last updated

Dec 4, 2016By the provider in NPPES

Organization subpart

Yes

Parent organization

IOWA PHYSICIANS CLINIC MEDICAL FOUNDATIONAs reported in NPPES

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

Authorized official

Name

David Williams

Title

President/Ceo

Phone

(515) 471-9200

Specialties & licenses 1

Addresses

Other names 1

• UNITYPOINT CLINIC FAMILY MEDICINE EAGLE GROVE Doing business as

Part of

Intergra Health

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

{
    "created_epoch": "1470268800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1480809600000",
    "number": "1477007755",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1455",
            "city": "DES MOINES",
            "state": "IA",
            "postal_code": "503061455",
            "telephone_number": "515-471-9300",
            "fax_number": "515-471-9319"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "115 S PARK AVE",
            "city": "EAGLE GROVE",
            "state": "IA",
            "postal_code": "505332219",
            "telephone_number": "515-448-5185",
            "fax_number": "515-448-4405"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "IOWA PHYSICIANS CLINIC MEDICAL FOUNDATION",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "IOWA PHYSICIANS CLINIC MEDICAL FOUNDATION",
        "enumeration_date": "2016-08-04",
        "last_updated": "2016-12-04",
        "status": "A",
        "authorized_official_last_name": "WILLIAMS",
        "authorized_official_first_name": "DAVID",
        "authorized_official_title_or_position": "PRESIDENT/CEO",
        "authorized_official_telephone_number": "515-471-9200"
    },
    "taxonomies": [
        {
            "code": "261QR1300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Rural Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "UNITYPOINT CLINIC FAMILY MEDICINE EAGLE GROVE",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Eagle Grove Community School District
• Eagle Grove Family Dentistry PLC
• Eagle Grove Pharmacy Inc
• Eagle Grove Pharmacy Inc (Eagle Pharmacy)
• Charity A Hayes, ARNP
• Sydney Irish, OTR
• Rebecca Mae Jensen, OTD, OTR/L, ATC
• Sarah Lentz
• Mark P Magennis, PAC
• Moffitt Dental Center

• Rural Health Clinic/Center in Eagle Grove, IA
• Providers in Eagle Grove, IA by specialty
• Rural Health Clinic/Center in Iowa

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 4, 2016; 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.