FHC of Storm Lake Iowa Inc

Primary specialty

Intellectual Disabilities Intermediate Care FacilityTaxonomy code 315P00000X

License

IMR439 Issued in IA

Legal business name

FHC OF STORM LAKE IOWA INC

Practice address

1815 W Milwaukee Ave
Storm Lake, IA 50588-0243

Phone

(712) 732-5127

Fax

(712) 732-6002

NPI assigned

Jan 22, 2007

Organization subpart

No

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

Authorized official

Name

Mr. Thomas G Daniels

Title

Executive Director

Phone

(712) 732-5117

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Faith Hope & Charity Doing business as

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

{
    "created_epoch": "1169424000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1558415943",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 243",
            "city": "STORM LAKE",
            "state": "IA",
            "postal_code": "505880243",
            "telephone_number": "712-732-5127",
            "fax_number": "712-732-6002"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1815 W MILWAUKEE AVE",
            "city": "STORM LAKE",
            "state": "IA",
            "postal_code": "505880243",
            "telephone_number": "712-732-5127",
            "fax_number": "712-732-6002"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FHC OF STORM LAKE IOWA INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-22",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "DANIELS",
        "authorized_official_first_name": "THOMAS",
        "authorized_official_middle_name": "G",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "712-732-5117",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "315P00000X",
            "taxonomy_group": "",
            "desc": "Intermediate Care Facility, Intellectual Disabilities",
            "state": "IA",
            "license": "IMR439",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0880674",
            "state": "IA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Faith Hope & Charity",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Family First Dental Associates of Primghar, P.C.
• Garrett James Feddersen, D.O.
• Christine M Feltman, PHYSICAL THERAPIST
• Sarah Colleen Fennell
• Jill T Fetrow, OCCUPATIONAL
• Pamela J Fieber, CNP
• Monica L Firme, CRNA
• Tiffany Flammang, C.O.T.A.
• Charles Richard Flickinger, DNP
• Fotene Gennatos DDS, PLLC

• Intellectual Disabilities Intermediate Care Facility in Storm Lake, IA
• Providers in Storm Lake, IA by specialty
• Intellectual Disabilities Intermediate Care Facility in Iowa

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.