Active NPI
Allen Memorial Hospital Corporation
- Home Health Agency
- Waterloo, IA
National Provider Identifier
1609951276
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Home Health Agency
- Legal business name
- ALLEN MEMORIAL HOSPITAL CORPORATION
- Practice address
- 1825 Logan Ave
Waterloo, IA 50703-1916 - Phone
- (319) 235-3702
- Fax
- (319) 235-3696
- NPI assigned
- Oct 25, 2006
- Organization subpart
- Yes
- Parent organization
- ALLEN HOSPITAL
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mr. John E Knox
- Title
- President / Ceo
- Phone
- (319) 235-3987
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Home Health Agency | 251E00000X | Primary |
Addresses
Primary practice location
1825 Logan Ave
Waterloo, IA 50703-1916
Mailing address
1825 Logan Ave
Waterloo, IA 50703-1916
Phone (319) 235-3702
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0671479 | Medicaid | IA |
Other names 1
- Allen Home Health Services
National Provider Directory
National Provider Directory- Part of
- Marianne Bethke MD
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1161734400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1293580800000",
"number": "1609951276",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1825 LOGAN AVE",
"city": "WATERLOO",
"state": "IA",
"postal_code": "507031916",
"telephone_number": "319-235-3702",
"fax_number": "319-235-3696"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1825 LOGAN AVE",
"city": "WATERLOO",
"state": "IA",
"postal_code": "507031916",
"telephone_number": "319-235-3702",
"fax_number": "319-235-3696"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "ALLEN MEMORIAL HOSPITAL CORPORATION",
"organizational_subpart": "YES",
"parent_organization_legal_business_name": "ALLEN HOSPITAL",
"enumeration_date": "2006-10-25",
"last_updated": "2010-12-29",
"status": "A",
"authorized_official_last_name": "KNOX",
"authorized_official_first_name": "JOHN",
"authorized_official_middle_name": "E",
"authorized_official_title_or_position": "PRESIDENT / CEO",
"authorized_official_telephone_number": "319-235-3987",
"authorized_official_name_prefix": "Mr."
},
"taxonomies": [
{
"code": "251E00000X",
"taxonomy_group": "",
"desc": "Home Health",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "0671479",
"state": "IA"
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "Allen Home Health Services",
"code": "3",
"type": "Doing Business As"
}
]
}Other providers in Waterloo, IA
- Allen Memorial Hospital Corporation
- Allen Memorial Hospital Corporation
- Allen Memorial Hospital Corporation
- Allen Memorial Hospital Corporation
- Allen Memorial Hospital Corporation
- Allen Memorial Hospital Corporation
- Allen Memorial Hospital Corporation
- Allen Memorial Hospital Corporation
- Allen Memorial Hospital Corporation
- Allen Memorial Hospital Corporation Lab
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 29, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.