NPIMap

Organization Active NPI

Iowa Veterans Home

  • Internal Medicine Physician
  • Marshalltown, IA
National Provider Identifier
1528073962
Registry record updated Jul 22, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
Legal business name
IOWA VETERANS HOME
Practice address
1301 Summit St
Marshalltown, IA 50158-5484
Phone
(641) 753-4518
Fax
(641) 753-4203
NPI assigned
Jul 31, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 22, 2009

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

Authorized official

Name
Robin J Richardson
Title
Accounting Clerk 2
Phone
(641) 753-4518

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine PhysicianGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 207R00000X Primary
Long Term Care Pharmacy 3336L0003X IA

Addresses

Primary practice location

1301 Summit St
Marshalltown, IA 50158-5484

Mailing address

1301 Summit St
Marshalltown, IA 50158-5484
Phone (641) 753-4518

Other identifiers 1

IdentifierTypeStateIssuer
0088278MedicaidIA

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1154304000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1248220800000",
    "number": "1528073962",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1301 SUMMIT ST",
            "city": "MARSHALLTOWN",
            "state": "IA",
            "postal_code": "501585484",
            "telephone_number": "641-753-4518",
            "fax_number": "641-753-4203"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1301 SUMMIT ST",
            "city": "MARSHALLTOWN",
            "state": "IA",
            "postal_code": "501585484",
            "telephone_number": "641-753-4518",
            "fax_number": "641-753-4203"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "IOWA VETERANS HOME",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-31",
        "last_updated": "2009-07-22",
        "status": "A",
        "authorized_official_last_name": "RICHARDSON",
        "authorized_official_first_name": "ROBIN",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "ACCOUNTING CLERK 2",
        "authorized_official_telephone_number": "641-753-4518"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Internal Medicine",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "3336L0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Long Term Care Pharmacy",
            "state": "IA",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0088278",
            "state": "IA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Marshalltown, IA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 22, 2009; 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.