Northwoods Living, Inc.

Primary specialty

Voluntary or Charitable AgencyTaxonomy code 251V00000X

License

940565 Issued in IA

Legal business name

NORTHWOODS LIVING, INC.

Practice address

1470 21St Ave N
Fort Dodge, IA 50501-7114

Phone

(515) 573-8243

Fax

(515) 576-4269

NPI assigned

Jun 9, 2005

Last updated

Aug 22, 2020By 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

Ms. Linda A Smith, B.S.

Title

Executive Director

Phone

(515) 573-8243

Specialties & licenses 1

Addresses

Other identifiers 3

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

{
    "created_epoch": "1118275200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1689678351",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1470 21ST AVE. N.",
            "city": "FORT DODGE",
            "state": "IA",
            "postal_code": "505017114",
            "telephone_number": "515-573-8243",
            "fax_number": "515-576-4269"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1470 21ST AVE N",
            "city": "FORT DODGE",
            "state": "IA",
            "postal_code": "505017114",
            "telephone_number": "515-573-8243",
            "fax_number": "515-576-4269"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NORTHWOODS LIVING, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-06-09",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "SMITH",
        "authorized_official_first_name": "LINDA",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "515-573-8243",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "B.S."
    },
    "taxonomies": [
        {
            "code": "251V00000X",
            "taxonomy_group": "",
            "desc": "Voluntary or Charitable",
            "state": "IA",
            "license": "940565",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0880526",
            "state": "IA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0226126",
            "state": "IA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0147918",
            "state": "IA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Shaun O'Neill, DDS
• Tate O'Tool
• Melissa Oatman
• Mary C Oberg, O.D.

• Voluntary or Charitable Agency in Fort Dodge, IA
• Providers in Fort Dodge, IA by specialty
• Voluntary or Charitable Agency in Iowa

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.