Organization Active NPI

McFarland Clinic, P.C.

  • Durable Medical Equipment & Medical Supplies
  • Ames, IA
National Provider Identifier
1477636272
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X
Legal business name
MCFARLAND CLINIC, P.C.
Practice address
1215 Duff Avenue
Ames, IA 50010-3014
Phone
(515) 239-4400
Fax
(515) 239-4446
NPI assigned
Oct 23, 2006
Last updated
Aug 22, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Mr. Jeb Odein Lee
Title
Executive Director Clinical Ops
Phone
(515) 239-4452

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Durable Medical Equipment & Medical Supplies 332B00000X Primary

Addresses

Primary practice location

1215 Duff Avenue
Ames, IA 50010-3014

Mailing address

1215 Duff Avenue
P.O. Box 3014
Ames, IA 50010-3014
Phone (515) 239-4400

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20100930089321 IA DME Supplier - Multi-Specialty - Physician 1254244239 Practice locations: Ames, IA

Other NPIs with the same Medicare PAC ID 9

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

National Provider Directory

National Provider Directory
Tax ID family
McFarland Clinic Lake City10 organizations share this tax ID, including this one

Other organizations with this tax ID 9

Organizations that report the same tax identification number in the National Provider Directory.

Member organizations 3

Organizations listed as members of this organization in the National Provider Directory.

Locations

1215 Duff Ave
Ames, IA 50010
Phone (515) 239-4400

Ownership & related parties

All facility ownership & control disclosures 1

Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.

FacilityTypeRoleSince
Northridge VillageAmes, IA, CCN 165613 Skilled nursing facility Adp of the SNF Sep 1, 2015

Owned or controlled facilities with NPI records 1

Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.

NPI Registry JSON

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

{
    "created_epoch": "1161561600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1477636272",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1215 DUFF AVENUE",
            "address_2": "P.O. BOX 3014",
            "city": "AMES",
            "state": "IA",
            "postal_code": "500103014",
            "telephone_number": "515-239-4400",
            "fax_number": "515-239-4446"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1215 DUFF AVENUE",
            "city": "AMES",
            "state": "IA",
            "postal_code": "500103014",
            "telephone_number": "515-239-4400",
            "fax_number": "515-239-4446"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MCFARLAND CLINIC, P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-23",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "LEE",
        "authorized_official_first_name": "JEB",
        "authorized_official_middle_name": "ODEIN",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR CLINICAL OPS",
        "authorized_official_telephone_number": "515-239-4452",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Ames, IA

Sources for this page

Verify at the official NPI Registry.