Southern Iowa Family Planning Clinic, Inc.

Primary specialty

Obstetrics & Gynecology Nurse PractitionerTaxonomy code 363LX0001X

Legal business name

SOUTHERN IOWA FAMILY PLANNING CLINIC, INC.

Practice address

228 E 2ND St
Ottumwa, IA 52501-2981

Phone

(641) 682-9955

Fax

(641) 682-9946

NPI assigned

Aug 10, 2006

Organization subpart

No

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

Authorized official

Name

Vicki Sue Palm, ARNP

Title

Director

Phone

(641) 682-9955

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

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

{
    "created_epoch": "1155168000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1309392000000",
    "number": "1558372409",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "228 E 2ND ST",
            "city": "OTTUMWA",
            "state": "IA",
            "postal_code": "525012981",
            "telephone_number": "641-682-9955",
            "fax_number": "641-682-9946"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "228 E 2ND ST",
            "city": "OTTUMWA",
            "state": "IA",
            "postal_code": "525012981",
            "telephone_number": "641-682-9955",
            "fax_number": "641-682-9946"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SOUTHERN IOWA FAMILY PLANNING CLINIC, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-10",
        "last_updated": "2011-06-30",
        "status": "A",
        "authorized_official_last_name": "PALM",
        "authorized_official_first_name": "VICKI",
        "authorized_official_middle_name": "SUE",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "641-682-9955",
        "authorized_official_credential": "ARNP"
    },
    "taxonomies": [
        {
            "code": "363LX0001X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Nurse Practitioner, Obstetrics & Gynecology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0095232",
            "state": "IA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Obstetrics & Gynecology Nurse Practitioner in Ottumwa, IA
• Providers in Ottumwa, IA by specialty
• Obstetrics & Gynecology Nurse Practitioner in Iowa

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 30, 2011; 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.