NPIMap

Organization Active NPI

Hegg Medical Clinic

  • Family Medicine Physician
  • Rock Valley, IA
National Provider Identifier
1760658348
Registry record updated May 5, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
Legal business name
HEGG MEDICAL CLINIC
Practice address
2121 Hegg Dr
Rock Valley, IA 51247-1445
Phone
(712) 476-8100
NPI assigned
May 5, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 5, 2008

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

Authorized official

Name
Mrs. Valerie Ladd Loudemback
Title
Manager
Phone
(712) 476-8150

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207Q00000X Primary

Addresses

Primary practice location

2121 Hegg Dr
Rock Valley, IA 51247-1445

Mailing address

2121 Hegg Dr
Rock Valley, IA 51247-1445
Phone (712) 476-8100

Other identifiers 1

IdentifierTypeStateIssuer
0129528MedicaidIA

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 14

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

View all 14

NPI Registry JSON

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

{
    "created_epoch": "1209945600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1209945600000",
    "number": "1760658348",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2121 HEGG DR",
            "city": "ROCK VALLEY",
            "state": "IA",
            "postal_code": "512471445",
            "telephone_number": "712-476-8100"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2121 HEGG DR",
            "city": "ROCK VALLEY",
            "state": "IA",
            "postal_code": "512471445",
            "telephone_number": "712-476-8100"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HEGG MEDICAL CLINIC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-05-05",
        "last_updated": "2008-05-05",
        "status": "A",
        "authorized_official_last_name": "LOUDEMBACK",
        "authorized_official_first_name": "VALERIE",
        "authorized_official_middle_name": "LADD",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "712-476-8150",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0129528",
            "state": "IA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Rock Valley, IA

Sources for this page

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