Active NPI
Trimark Physicians Group Inc
Doing business as Trimark Physicians Group
- Rural Health Clinic/Center
- Eagle Grove, IA
National Provider Identifier
1689650764
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Rural Health Clinic/Center
- Legal business name
- TRIMARK PHYSICIANS GROUP INC
- Doing business as
- Trimark Physicians Group
- Practice address
- 115 S Park Ave
Eagle Grove, IA 50533-2219 - Phone
- (515) 448-5185
- NPI assigned
- Dec 20, 2005
- Last updated
- Dec 22, 2010
- Organization subpart
- Yes
- Parent organization
- TRIMARK PHYSICIANS GROUP INC
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Michael J Dewerff
- Title
- Cfo
- Phone
- (515) 574-6603
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Rural Health Clinic/Center | 261QR1300X | Primary |
Addresses
Primary practice location
115 S Park Ave
Eagle Grove, IA 50533-2219
Mailing address
24 N 9TH St
Suite a
Fort Dodge, IA 50501-3905
Phone (515) 574-6890
Other names 1
- Trimark Physicians Group
National Provider Directory
National Provider Directory- Part of
- Trimark Physicians Group Inc
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1135036800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1292976000000",
"number": "1689650764",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "24 N 9TH ST",
"address_2": "SUITE A",
"city": "FORT DODGE",
"state": "IA",
"postal_code": "505013905",
"telephone_number": "515-574-6890"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "115 S PARK AVE",
"city": "EAGLE GROVE",
"state": "IA",
"postal_code": "505332219",
"telephone_number": "515-448-5185"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "TRIMARK PHYSICIANS GROUP INC",
"organizational_subpart": "YES",
"parent_organization_legal_business_name": "TRIMARK PHYSICIANS GROUP INC",
"enumeration_date": "2005-12-20",
"last_updated": "2010-12-22",
"status": "A",
"authorized_official_last_name": "DEWERFF",
"authorized_official_first_name": "MICHAEL",
"authorized_official_middle_name": "J",
"authorized_official_title_or_position": "CFO",
"authorized_official_telephone_number": "515-574-6603"
},
"taxonomies": [
{
"code": "261QR1300X",
"taxonomy_group": "",
"desc": "Clinic/Center, Rural Health",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "Trimark Physicians Group",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Eagle Grove, IA
- Rotary Club of Eagle Grove Home Inc
- Elizabeth Schwake, MT-BC
- Jordan Sisson, MS. ED
- Dustin R Smith, MD
- Trimark Physicians Group (UnityPoint Clinic)
- Trinity Regional Medical Center (Unitypoint Clinic Family Medicine Eagle Grove)
- James David Varland, LMHC LMFT
- Andrew J Wagner, PHARMD
- Walker Dental Consulting, L.L.C.
- Spencer Wallace Walker, D.D.S.
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 22, 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.