Handicap Village
Organization Active NPI Intellectual Disabilities Intermediate Care Facility · Fort Dodge, IA
NPI 1487981783 · NPPES record last updated Nov 6, 2009
Key facts
- NPI
- 1487981783
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Intellectual Disabilities Intermediate Care Facility 315P00000X
- Legal business name
- HANDICAP VILLAGE
- Practice address
- 1470 21St Ave N
Fort Dodge, IA 50501-7114 - Phone
- (515) 573-8243
- Fax
- (515) 576-4269
- NPI assigned
- Nov 6, 2009
- Organization subpart
- No
Authorized official
- Name
- Mr. John Severtson
- Title
- Ceo
- Phone
- (641) 357-5277
Corporate family (same tax ID) 23
National Provider Directory
- Tax ID family
- Handicap Village
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Intellectual Disabilities Intermediate Care Facility | 315P00000X | Yes |
Addresses
Primary practice location
1470 21St Ave N
Fort Dodge, IA 50501-7114
Mailing address
PO Box 622
Clear Lake, IA 50428-0622
Phone (641) 357-5277
Other names
- Opportunity Village
Other providers in Fort Dodge, IA
- Emily Hamilton
- Tristyn Lily-Ann Hamilton
- Brian L Hamm
- Patrick Hancock
- Handicap Village
- Handicap Village
- Larry Bruce Handy
- Hanger Prosthetics & Orthotics Inc
- Hilary Hansch
- Kimberly R Hanson
All providers in Fort Dodge, IA · Intellectual Disabilities Intermediate Care Facility in Iowa
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Nov 6, 2009. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.