NPIMap

Organization Active NPI

Villisca Family Health Center

  • Rural Health Clinic/Center
  • Villisca, IA
National Provider Identifier
1538288352
Registry record updated May 21, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Rural Health Clinic/CenterTaxonomy code 261QR1300X
Legal business name
VILLISCA FAMILY HEALTH CENTER
Practice address
309 S 5TH Ave
Villisca, IA 50864-1160
Phone
(712) 826-3003
NPI assigned
Mar 29, 2007
Last updated
May 21, 2014By the provider in NPPES
Organization subpart
Yes
Parent organization
CLARINDA REGIONAL HEALTH CENTERAs reported in NPPES

NPPES NPI Registry

Updated by the provider on May 21, 2014

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

Authorized official

Name
Elaine Otte
Title
Coo
Phone
(712) 542-2176

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Rural Health Clinic/Center 261QR1300X NU Primary

Addresses

Primary practice location

309 S 5TH Ave
Villisca, IA 50864-1160

Mailing address

PO Box 217
Clarinda, IA 51632-2625
Phone (712) 826-3003

National Provider Directory

National Provider Directory
Tax ID family
Ron Pederson11 organizations share this tax ID, including this one
Part of
Ron Pederson

Other organizations with this tax ID 10

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": "1175126400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1400630400000",
    "number": "1538288352",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 217",
            "city": "CLARINDA",
            "state": "IA",
            "postal_code": "516322625",
            "telephone_number": "712-826-3003"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "309 S 5TH AVE",
            "city": "VILLISCA",
            "state": "IA",
            "postal_code": "508641160",
            "telephone_number": "712-826-3003"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VILLISCA FAMILY HEALTH CENTER",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "CLARINDA REGIONAL HEALTH CENTER",
        "enumeration_date": "2007-03-29",
        "last_updated": "2014-05-21",
        "status": "A",
        "authorized_official_last_name": "OTTE",
        "authorized_official_first_name": "ELAINE",
        "authorized_official_title_or_position": "COO",
        "authorized_official_telephone_number": "712-542-2176"
    },
    "taxonomies": [
        {
            "code": "261QR1300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Rural Health",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Villisca, IA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 21, 2014; 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.