NPIMap

Organization Active NPI

Woodward Resource Center

  • Child Intellectual and/or Developmental Disabilities Respite Care
  • Woodward, IA
National Provider Identifier
1487786281
Registry record updated Sep 23, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Child Intellectual and/or Developmental Disabilities Respite CareTaxonomy code 385HR2060X
Legal business name
WOODWARD RESOURCE CENTER
Practice address
1251 334TH St
Woodward, IA 50276-7509
Phone
(515) 438-3121
Fax
(515) 438-3122
NPI assigned
Mar 9, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 23, 2022

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

Authorized official

Name
Clinton Reynolds
Title
Business
Phone
(515) 438-3622

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Child Intellectual and/or Developmental Disabilities Respite Care 385HR2060X IA Primary

Addresses

Primary practice location

1251 334TH St
Woodward, IA 50276-7509

Mailing address

1251 334TH St
Woodward, IA 50276-7509
Phone (515) 438-3121

Other identifiers 1

IdentifierTypeStateIssuer
0122812MedicaidIA

National Provider Directory

National Provider Directory
Tax ID family
Woodward Resource Center4 organizations share this tax ID, including this one

Other organizations with this tax ID 3

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

NPI Registry JSON

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

{
    "created_epoch": "1173398400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1663891200000",
    "number": "1487786281",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1251 334TH ST",
            "city": "WOODWARD",
            "state": "IA",
            "postal_code": "502767509",
            "telephone_number": "515-438-3121",
            "fax_number": "515-438-3122"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1251 334TH ST",
            "city": "WOODWARD",
            "state": "IA",
            "postal_code": "502767509",
            "telephone_number": "515-438-3121",
            "fax_number": "515-438-3122"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WOODWARD RESOURCE CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-09",
        "last_updated": "2022-09-23",
        "certification_date": "2022-09-23",
        "status": "A",
        "authorized_official_last_name": "REYNOLDS",
        "authorized_official_first_name": "CLINTON",
        "authorized_official_title_or_position": "BUSINESS",
        "authorized_official_telephone_number": "515-438-3622"
    },
    "taxonomies": [
        {
            "code": "385HR2060X",
            "taxonomy_group": "",
            "desc": "Respite Care, Respite Care, Intellectual and/or Developmental Disabilities, Child",
            "state": "IA",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0122812",
            "state": "IA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Woodward, IA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 23, 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.

Verify at the official NPI Registry.