Organization Active NPI

Van Buren County Hospital

  • Rural Health Clinic/Center
  • Douds, IA
National Provider Identifier
1801966585
Registry record updated Oct 11, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Rural Health Clinic/CenterTaxonomy code 261QR1300X
Legal business name
VAN BUREN COUNTY HOSPITAL
Practice address
14204 Highway 98
Douds, IA 52551-8158
Phone
(641) 936-7107
Fax
(641) 936-7176
NPI assigned
Nov 9, 2006
Organization subpart
Yes
Parent organization
VAN BUREN COUNTY HOSPITALAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Oct 11, 2014

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

Authorized official

Name
Ms. Kara M. McEntee
Title
Cfo
Phone
(319) 293-3171

Specialties & licenses 1

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

Addresses

Primary practice location

14204 Highway 98
Douds, IA 52551-8158

Mailing address

304 Franklin St
Keosauqua, IA 52565-1164
Phone (319) 293-3171

Other identifiers 1

IdentifierTypeStateIssuer
0639989MedicaidIA

Other names 1

  • Douds Medical Clinic Doing business as

National Provider Directory

National Provider Directory
Part of
Van Buren County Hospital

NPI Registry JSON

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

{
    "created_epoch": "1163030400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1412985600000",
    "number": "1801966585",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "304 FRANKLIN ST",
            "city": "KEOSAUQUA",
            "state": "IA",
            "postal_code": "525651164",
            "telephone_number": "319-293-3171",
            "fax_number": "319-293-3473"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14204 HIGHWAY 98",
            "city": "DOUDS",
            "state": "IA",
            "postal_code": "525518158",
            "telephone_number": "641-936-7107",
            "fax_number": "641-936-7176"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VAN BUREN COUNTY HOSPITAL",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "VAN BUREN COUNTY HOSPITAL",
        "enumeration_date": "2006-11-09",
        "last_updated": "2014-10-11",
        "status": "A",
        "authorized_official_last_name": "MCENTEE",
        "authorized_official_first_name": "KARA",
        "authorized_official_middle_name": "M.",
        "authorized_official_title_or_position": "CFO",
        "authorized_official_telephone_number": "319-293-3171",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "261QR1300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Rural Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0639989",
            "state": "IA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Douds Medical Clinic",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Douds, IA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 11, 2014; 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.