Organization Active NPI

Arch, Inc

  • Intellectual Disabilities Intermediate Care Facility
  • Clinton, IA
National Provider Identifier
1700928629
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Intellectual Disabilities Intermediate Care FacilityTaxonomy code 315P00000X
Legal business name
ARCH, INC
Practice address
715 S 3Rd St
Clinton, IA 52732-4312
Phone
(563) 243-9035
Fax
(563) 243-7796
NPI assigned
Feb 14, 2007
Last updated
Aug 22, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Betty J Ketelsen
Title
Administrative Assistant
Phone
(563) 243-9035

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Intellectual Disabilities Intermediate Care Facility 315P00000X Primary

Addresses

Primary practice location

715 S 3Rd St
Clinton, IA 52732-4312

Mailing address

PO Box 278
715 South 3Rd Street
Clinton, IA 52733-0278
Phone (563) 243-9035

National Provider Directory

National Provider Directory

Locations

715 S 3rd St
Clinton, IA 52732
Phone (563) 243-9035

NPI Registry JSON

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

{
    "created_epoch": "1171411200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1700928629",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 278",
            "address_2": "715 SOUTH 3RD STREET",
            "city": "CLINTON",
            "state": "IA",
            "postal_code": "527330278",
            "telephone_number": "563-243-9035",
            "fax_number": "563-243-7796"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "715 S 3RD ST",
            "city": "CLINTON",
            "state": "IA",
            "postal_code": "527324312",
            "telephone_number": "563-243-9035",
            "fax_number": "563-243-7796"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ARCH, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-14",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "KETELSEN",
        "authorized_official_first_name": "BETTY",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "ADMINISTRATIVE ASSISTANT",
        "authorized_official_telephone_number": "563-243-9035"
    },
    "taxonomies": [
        {
            "code": "315P00000X",
            "taxonomy_group": "",
            "desc": "Intermediate Care Facility, Intellectual Disabilities",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Clinton, IA

Sources for this page

  • 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.