NPIMap

Organization Active NPI

Woodward Resource Center

  • Intellectual Disabilities Intermediate Care Facility
  • Woodward, IA
National Provider Identifier
1710018684
Registry record updated Sep 23, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Intellectual Disabilities Intermediate Care FacilityTaxonomy code 315P00000X
License
080069 Issued in IA
Legal business name
WOODWARD RESOURCE CENTER
Practice address
1251 334TH St
Woodward, IA 50276-7509
Phone
(515) 438-2600
Fax
(515) 438-3122
NPI assigned
Mar 9, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 23, 2022

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

Authorized official

Name
Clint Reynolds
Title
Business Manager
Phone
(515) 438-3622

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Intellectual Disabilities Intermediate Care Facility 315P00000X 080069 IA Primary

Addresses

Primary practice location

1251 334TH St
Woodward, IA 50276-7509

Mailing address

1251 334TH St
Woodward, IA 50276-7509
Phone (515) 438-2600

Other identifiers 1

IdentifierTypeStateIssuer
0880088MedicaidIA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

Intermediate care facility for individuals with intellectual disabilities certification: CCN 16G042

Name & address match This certification has no NPI in the Medicare enrollment files. CMS publishes enrollment files for six facility types only, so it was connected to this NPI by matching the name and address CMS publishes for it.

Legal name
WOODWARD RESOURCE CENTER
Certification status
Active
Provider type (POS)
Intermediate care facility for individuals with intellectual disabilities
Participating since
Jan 17, 1990
Last certification
May 7, 2025
Beds
639
Ownership / control type
State
Facility address
1251 334TH Street
Woodward, IA 50276

National Provider Directory

National Provider Directory
Tax ID family
Woodward Resource Center4 organizations share this tax ID, including this one

Other organizations with this tax ID 3

Organizations that report the same tax identification number in the National Provider Directory.

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1173398400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1663891200000",
    "number": "1710018684",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1251 334TH ST",
            "city": "WOODWARD",
            "state": "IA",
            "postal_code": "502767509",
            "telephone_number": "515-438-2600",
            "fax_number": "515-438-3122"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1251 334TH ST",
            "city": "WOODWARD",
            "state": "IA",
            "postal_code": "502767509",
            "telephone_number": "515-438-2600",
            "fax_number": "515-438-3122"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WOODWARD RESOURCE CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-09",
        "last_updated": "2022-09-23",
        "certification_date": "2022-09-23",
        "status": "A",
        "authorized_official_last_name": "REYNOLDS",
        "authorized_official_first_name": "CLINT",
        "authorized_official_title_or_position": "BUSINESS MANAGER",
        "authorized_official_telephone_number": "515-438-3622"
    },
    "taxonomies": [
        {
            "code": "315P00000X",
            "taxonomy_group": "",
            "desc": "Intermediate Care Facility, Intellectual Disabilities",
            "state": "IA",
            "license": "080069",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0880088",
            "state": "IA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Woodward, IA

Sources for this page

Verify at the official NPI Registry.