Organization Active NPI

Adair County Memorial Hospital

Doing business as Adair County Medical Clinic Stuart

  • Rural Health Clinic/Center
  • Stuart, IA
National Provider Identifier
1760436257
Registry record updated Aug 5, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Rural Health Clinic/CenterTaxonomy code 261QR1300X
Legal business name
ADAIR COUNTY MEMORIAL HOSPITAL
Doing business as
Adair County Medical Clinic Stuart
Practice address
103 SE 6TH St
Stuart, IA 50250-1040
Phone
(515) 523-2950
Fax
(515) 523-2955
NPI assigned
May 20, 2006
Last updated
Aug 5, 2013By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 5, 2013

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

Authorized official

Name
Kevin Heinzeroth
Title
Cfo
Phone
(641) 743-2123

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Rural Health Clinic/Center 261QR1300X IA Primary

Addresses

Primary practice location

103 SE 6TH St
Stuart, IA 50250-1040

Mailing address

609 SE Kent St
Greenfield, IA 50849-9454
Phone (641) 743-2123

Other identifiers 2

IdentifierTypeStateIssuer
33845OtherIABLUE CROSS
0635052MedicaidIA

Other names 1

  • Adair County Medical Clinic Stuart Doing business as

National Provider Directory

National Provider Directory

Member of 1

Organizations this organization is a member of, according to the National Provider Directory.

NPI Registry JSON

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

{
    "created_epoch": "1148083200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1375660800000",
    "number": "1760436257",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "609 SE KENT ST",
            "city": "GREENFIELD",
            "state": "IA",
            "postal_code": "508499454",
            "telephone_number": "641-743-2123",
            "fax_number": "641-743-7294"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "103 SE 6TH ST",
            "city": "STUART",
            "state": "IA",
            "postal_code": "502501040",
            "telephone_number": "515-523-2950",
            "fax_number": "515-523-2955"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ADAIR COUNTY MEMORIAL HOSPITAL",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-05-20",
        "last_updated": "2013-08-05",
        "status": "A",
        "authorized_official_last_name": "HEINZEROTH",
        "authorized_official_first_name": "KEVIN",
        "authorized_official_title_or_position": "CFO",
        "authorized_official_telephone_number": "641-743-2123"
    },
    "taxonomies": [
        {
            "code": "261QR1300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Rural Health",
            "state": "IA",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS",
            "identifier": "33845",
            "state": "IA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0635052",
            "state": "IA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Adair County Medical Clinic Stuart",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Stuart, IA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 5, 2013; 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.