Active NPI
Keokuk Area Hospital
- Rural Health Clinic/Center
- Keokuk, IA
National Provider Identifier
1477127728
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Rural Health Clinic/Center
- Legal business name
- KEOKUK AREA HOSPITAL
- Practice address
- 1414 Main St
Keokuk, IA 52632-3926 - Phone
- (319) 524-0123
- NPI assigned
- May 19, 2021
- Last updated
- Jul 11, 2022
- Organization subpart
- Yes
- Parent organization
- KEOKUK AREA HOSPITAL
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Vickie Sue Reneau
- Title
- Administrator
- Phone
- (319) 526-8772
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Rural Health Clinic/Center | 261QR1300X | Primary |
Addresses
Primary practice location
1414 Main St
Keokuk, IA 52632-3926
Mailing address
1414 Main St
Keokuk, IA 52632-3926
Phone (319) 524-0123
Other names 1
- Blessing Health Keokuk Clinic
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| CONNECT URL | https://cobiusconnect.cobius.com:8291/Gateway/DocumentSubmission/2_0/NhinService/XDRRequest_Service | Other | Cobius Healthcare Solutions |
National Provider Directory
National Provider Directory- Part of
- Internal Medicine Asso
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1621382400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1657497600000",
"number": "1477127728",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1414 MAIN ST",
"city": "KEOKUK",
"state": "IA",
"postal_code": "526323926",
"telephone_number": "319-524-0123"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1414 MAIN ST",
"city": "KEOKUK",
"state": "IA",
"postal_code": "526323926",
"telephone_number": "319-524-0123"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "KEOKUK AREA HOSPITAL",
"organizational_subpart": "YES",
"parent_organization_legal_business_name": "KEOKUK AREA HOSPITAL",
"enumeration_date": "2021-05-19",
"last_updated": "2022-07-11",
"certification_date": "2022-07-11",
"status": "A",
"authorized_official_last_name": "RENEAU",
"authorized_official_first_name": "VICKIE",
"authorized_official_middle_name": "SUE",
"authorized_official_title_or_position": "ADMINISTRATOR",
"authorized_official_telephone_number": "319-526-8772"
},
"taxonomies": [
{
"code": "261QR1300X",
"taxonomy_group": "",
"desc": "Clinic/Center, Rural Health",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "CONNECT",
"endpointTypeDescription": "CONNECT URL",
"endpoint": "https://cobiusconnect.cobius.com:8291/Gateway/DocumentSubmission/2_0/NhinService/XDRRequest_Service",
"affiliation": "Y",
"endpointDescription": "2.16.840.1.113883.3.1068.1",
"affiliationName": "Cobius Healthcare Solutions",
"use": "OTHER",
"useDescription": "Other",
"useOtherDescription": "CMS esMD eMDR",
"address_1": "2720 Dundee Rd # 302",
"city": "Northbrook",
"state": "IL",
"country_code": "US",
"postal_code": "600622609",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": [
{
"organization_name": "Blessing Health Keokuk Clinic",
"code": "5",
"type": "Other Name"
}
]
}Other providers in Keokuk, IA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 11, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.