Active NPI
Van Buren County Hospital
- Rural Health Clinic/Center
- Douds, IA
National Provider Identifier
1801966585
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Rural Health Clinic/Center
- 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 HOSPITAL
NPPES NPI Registry
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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0639989 | Medicaid | IA |
Other names 1
- Douds Medical Clinic
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.