NPIMap

Organization Active NPI

Braaten Health Outpatient Services

  • Health Service Clinic/Center
  • Davenport, IA
National Provider Identifier
1568899649
Registry record updated Oct 3, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Health Service Clinic/CenterTaxonomy code 261QH0100X
Legal business name
BRAATEN HEALTH OUTPATIENT SERVICES
Practice address
1820 W 3Rd St
Davenport, IA 52802-1812
Phone
(563) 322-2103
Fax
(563) 322-2117
NPI assigned
Oct 3, 2013
Last updated
Oct 3, 2013By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 3, 2013

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

Authorized official

Name
Ms. Linda Rubey
Title
Director,Finance and Human Resource
Phone
(563) 327-0132

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Health Service Clinic/Center 261QH0100X Primary

Addresses

Primary practice location

1820 W 3Rd St
Davenport, IA 52802-1812

Mailing address

PO Box 3488
Davenport, IA 52808-3488
Phone (563) 327-0132

National Provider Directory

National Provider Directory
Tax ID family
Braaten Health LLC Dba Midwest Therapy Center9 organizations share this tax ID, including this one

Other organizations with this tax ID 8

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": "1380758400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1380758400000",
    "number": "1568899649",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 3488",
            "city": "DAVENPORT",
            "state": "IA",
            "postal_code": "528083488",
            "telephone_number": "563-327-0132",
            "fax_number": "563-326-1400"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1820 W 3RD ST",
            "city": "DAVENPORT",
            "state": "IA",
            "postal_code": "528021812",
            "telephone_number": "563-322-2103",
            "fax_number": "563-322-2117"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BRAATEN HEALTH OUTPATIENT SERVICES",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-10-03",
        "last_updated": "2013-10-03",
        "status": "A",
        "authorized_official_last_name": "RUBEY",
        "authorized_official_first_name": "LINDA",
        "authorized_official_title_or_position": "DIRECTOR,FINANCE AND HUMAN RESOURCE",
        "authorized_official_telephone_number": "563-327-0132",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "261QH0100X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Health Service",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Davenport, IA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 3, 2013; 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.