Active NPI
Adair County Memorial Hospital
Doing business as Adair County Medical Clinic Stuart
- Rural Health Clinic/Center
- Stuart, IA
National Provider Identifier
1760436257
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Rural Health Clinic/Center
- 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, 2013
- Organization subpart
- No
NPPES NPI Registry
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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 33845 | Other | IA | BLUE CROSS |
| 0635052 | Medicaid | IA |
Other names 1
- Adair County Medical Clinic Stuart
National Provider Directory
National Provider DirectoryMember 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.