Abcm Corporation

Primary specialty

Skilled Nursing FacilityTaxonomy code 314000000X

License

170382 Issued in IA

Legal business name

ABCM CORPORATION

Doing business as

Oakwood Care Center

Practice address

400 US Highway 18 W
Clear Lake, IA 50428-1108

Phone

(641) 357-5244

Fax

(641) 357-7154

NPI assigned

Aug 12, 2005

Last updated

Oct 18, 2010By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Timothy Roberts

Title

Cfo

Phone

(641) 456-5636

Specialties & licenses 1

Addresses

Other identifiers 2

Other names 1

• Oakwood Care Center Doing business as

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

{
    "created_epoch": "1123804800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1287360000000",
    "number": "1679575278",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1320 4TH ST NE",
            "city": "HAMPTON",
            "state": "IA",
            "postal_code": "504411104",
            "telephone_number": "641-456-5636",
            "fax_number": "641-456-2320"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "400 US HIGHWAY 18 W",
            "city": "CLEAR LAKE",
            "state": "IA",
            "postal_code": "504281108",
            "telephone_number": "641-357-5244",
            "fax_number": "641-357-7154"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ABCM CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-08-12",
        "last_updated": "2010-10-18",
        "status": "A",
        "authorized_official_last_name": "ROBERTS",
        "authorized_official_first_name": "TIMOTHY",
        "authorized_official_title_or_position": "CFO",
        "authorized_official_telephone_number": "641-456-5636"
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "IA",
            "license": "170382",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "WELLMARK",
            "identifier": "65365",
            "state": "IA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0804732",
            "state": "IA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Oakwood Care Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Skilled Nursing Facility in Clear Lake, IA
• Providers in Clear Lake, IA by specialty
• Skilled Nursing Facility in Iowa

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 18, 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.

Verify at the official NPI Registry.