Organization Active NPI

Marshalltown Medical & Surgical Center

  • Personal Emergency Response Attendant
  • Marshalltown, IA
National Provider Identifier
1760645477
Registry record updated Jul 3, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Personal Emergency Response AttendantTaxonomy code 146D00000X
Legal business name
MARSHALLTOWN MEDICAL & SURGICAL CENTER
Practice address
3 S 4TH Ave
Marshalltown, IA 50158-2924
Phone
(641) 754-5151
Fax
(641) 754-5172
NPI assigned
Jul 3, 2008
Organization subpart
Yes
Parent organization
LIFELINEAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Jul 3, 2008

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

Authorized official

Name
Mrs. Kary J Welter
Title
Lifeline Coordinator
Phone
(641) 754-5151

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Personal Emergency Response AttendantGroup: 193400000X SINGLE SPECIALTY GROUP 146D00000X IA Primary

Addresses

Primary practice location

3 S 4TH Ave
Marshalltown, IA 50158-2924

Mailing address

3 S 4TH Ave
Marshalltown, IA 50158-2924
Phone (641) 754-5151

Other identifiers 1

IdentifierTypeStateIssuer
1467523332MedicaidIA

National Provider Directory

National Provider Directory
Tax ID family
Marshalltown Medical Su2 organizations share this tax ID, including this one
Part of
Marshalltown Medical Su

Other organizations with this tax ID 1

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

NPI Registry JSON

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

{
    "created_epoch": "1215043200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1215043200000",
    "number": "1760645477",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3 S 4TH AVE",
            "city": "MARSHALLTOWN",
            "state": "IA",
            "postal_code": "501582924",
            "telephone_number": "641-754-5151",
            "fax_number": "641-754-5172"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3 S 4TH AVE",
            "city": "MARSHALLTOWN",
            "state": "IA",
            "postal_code": "501582924",
            "telephone_number": "641-754-5151",
            "fax_number": "641-754-5172"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MARSHALLTOWN MEDICAL & SURGICAL CENTER",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "LIFELINE",
        "enumeration_date": "2008-07-03",
        "last_updated": "2008-07-03",
        "status": "A",
        "authorized_official_last_name": "WELTER",
        "authorized_official_first_name": "KARY",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "LIFELINE COORDINATOR",
        "authorized_official_telephone_number": "641-754-5151",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "146D00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Personal Emergency Response Attendant",
            "state": "IA",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1467523332",
            "state": "IA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Marshalltown, IA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 3, 2008; 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.