Iowa Physicians Clinic Medical Foundation

Primary specialty

Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X

Legal business name

IOWA PHYSICIANS CLINIC MEDICAL FOUNDATION

Doing business as

Trinity Family Med Assoc Geneseo

Practice address

600 N College Ave
Ste 120
Geneseo, IL 61254-1092

Phone

(309) 944-5342

Fax

(309) 945-4079

NPI assigned

Jun 25, 2006

Last updated

Dec 13, 2012By the provider in NPPES

Organization subpart

Yes

Parent organization

IOWA PHYSICIANS CLINIC MEDICAL FOUNDATIONAs reported in NPPES

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

Authorized official

Name

Erick J Laine

Title

Coo

Phone

(515) 471-9227

Specialties & licenses 1

Addresses

Other names 1

• Trinity Family Med Assoc Geneseo Doing business as

Part of

Iowa Phy Medical Foundation

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

{
    "created_epoch": "1151193600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1355356800000",
    "number": "1780610055",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8101 BIRCHWOOD COURT",
            "address_2": "SUITE R",
            "city": "JOHNSTON",
            "state": "IA",
            "postal_code": "501312930",
            "telephone_number": "515-471-9243",
            "fax_number": "515-471-9319"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "600 N COLLEGE AVE",
            "address_2": "STE 120",
            "city": "GENESEO",
            "state": "IL",
            "postal_code": "612541092",
            "telephone_number": "309-944-5342",
            "fax_number": "309-945-4079"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "IOWA PHYSICIANS CLINIC MEDICAL FOUNDATION",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "IOWA PHYSICIANS CLINIC MEDICAL FOUNDATION",
        "enumeration_date": "2006-06-25",
        "last_updated": "2012-12-13",
        "status": "A",
        "authorized_official_last_name": "LAINE",
        "authorized_official_first_name": "ERICK",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "COO",
        "authorized_official_telephone_number": "515-471-9227"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Trinity Family Med Assoc Geneseo",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Thomas J Hughes, M.D.
• Stephanie Leigh Hull, PTA
• Iowa Illinois Pain Consultants PC
• Iowa Physicians Clinic Medical Foundation
• Iowa Physicians Clinic Medical Foundation (UnityPoint Clinic-Family Medicine-Geneseo)
• Emily Izral
• J&S Kelly LLC (Kelly's Medical Equipment & Supply)
• Beth Ann Jacobs
• Jak Enterprise Inc (Bard Optical)
• Johanna Hager LCPC (Altrnative Solutions)

• Durable Medical Equipment & Medical Supplies in Geneseo, IL
• Providers in Geneseo, IL by specialty
• Durable Medical Equipment & Medical Supplies in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 13, 2012; 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.