NPIMap

Organization Active NPI

Grinnell Regional Medical Center

Doing business as Grinnell Regional Women's Health Clinic

  • Obstetrics & Gynecology Physician
  • Grinnell, IA
National Provider Identifier
1639567910
Registry record updated Jan 22, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X
Legal business name
GRINNELL REGIONAL MEDICAL CENTER
Doing business as
Grinnell Regional Women's Health Clinic
Practice address
210 4TH Ave
Grinnell, IA 50112-1898
Phone
(641) 236-2905
NPI assigned
Jan 8, 2015
Last updated
Jan 22, 2015By the provider in NPPES
Organization subpart
Yes
Parent organization
GRINNELL REGIONAL MEDICAL CENTERAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Jan 22, 2015

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

Authorized official

Name
Todd C. Linden
Title
President & Ceo
Phone
(641) 236-7511

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Obstetrics & Gynecology Physician 207V00000X Primary

Addresses

Primary practice location

210 4TH Ave
Grinnell, IA 50112-1898

Mailing address

210 4TH Ave
Grinnell, IA 50112-1898
Phone (641) 236-2905

Other names 1

  • Grinnell Regional Women's Health Clinic Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20040127001219 IA Part B Supplier - Clinic/Group Practice 0446153662 Receives reassigned benefits from 173 practitioners
12 other NPIs on this enrollment
This NPI is an additional NPI on the enrollment
Practice locations: Pella, IA; Waterloo, IA; Robins, IA; Oskaloosa, IA; Marshalltown, IA; Marion, IA; Kalona, IA; Iowa City, IA…

Other NPIs on the same Medicare enrollment 12

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

National Provider Directory

National Provider Directory
Part of
Lynnville Medical Clini

NPI Registry JSON

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

{
    "created_epoch": "1420675200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1421884800000",
    "number": "1639567910",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "210 4TH AVE",
            "city": "GRINNELL",
            "state": "IA",
            "postal_code": "501121898",
            "telephone_number": "641-236-2905"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "210 4TH AVE",
            "city": "GRINNELL",
            "state": "IA",
            "postal_code": "501121898",
            "telephone_number": "641-236-2905"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GRINNELL REGIONAL MEDICAL CENTER",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "GRINNELL REGIONAL MEDICAL CENTER",
        "enumeration_date": "2015-01-08",
        "last_updated": "2015-01-22",
        "status": "A",
        "authorized_official_last_name": "LINDEN",
        "authorized_official_first_name": "TODD",
        "authorized_official_middle_name": "C.",
        "authorized_official_title_or_position": "PRESIDENT & CEO",
        "authorized_official_telephone_number": "641-236-7511"
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Grinnell Regional Women's Health Clinic",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Grinnell, IA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 22, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.