Active NPI
Midwest Academy, LLC
- Psychiatric Residential Treatment Facility
- Keokuk, IA
National Provider Identifier
1811354400
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatric Residential Treatment Facility
- Legal business name
- MIDWEST ACADEMY, LLC
- Practice address
- 2416 340TH St
Keokuk, IA 52632-9539 - Phone
- (877) 793-4909
- Fax
- (800) 524-0902
- NPI assigned
- Jan 27, 2016
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- To Be Determined
- Title
- Unknown
- Phone
- (111) 111-1111
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychiatric Residential Treatment Facility | 323P00000X | Primary | ||
| Children's Substance Abuse Rehabilitation Facility | 3245S0500X |
Addresses
Primary practice location
2416 340TH St
Keokuk, IA 52632-9539
Mailing address
2416 340TH St
Keokuk, IA 52632-9539
Phone (877) 793-4909
National Provider Directory
National Provider Directory- Tax ID family
- Midwest Academy
Other organizations with this tax ID 1
Organizations that report the same tax identification number in the National Provider Directory.
-
- School Social Worker
- Keokuk, IA
- NPI 1982878252
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1453852800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1456272000000",
"number": "1811354400",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2416 340TH ST",
"city": "KEOKUK",
"state": "IA",
"postal_code": "526329539",
"telephone_number": "877-793-4909",
"fax_number": "800-524-0902"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2416 340TH ST",
"city": "KEOKUK",
"state": "IA",
"postal_code": "526329539",
"telephone_number": "877-793-4909",
"fax_number": "800-524-0902"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "MIDWEST ACADEMY, LLC",
"organizational_subpart": "NO",
"enumeration_date": "2016-01-27",
"last_updated": "2016-02-24",
"status": "A",
"authorized_official_last_name": "DETERMINED",
"authorized_official_first_name": "TO BE",
"authorized_official_title_or_position": "UNKNOWN",
"authorized_official_telephone_number": "111-111-1111"
},
"taxonomies": [
{
"code": "323P00000X",
"taxonomy_group": "",
"desc": "Psychiatric Residential Treatment Facility",
"state": null,
"license": null,
"primary": true
},
{
"code": "3245S0500X",
"taxonomy_group": "",
"desc": "Substance Abuse Rehabilitation Facility, Substance Abuse Treatment, Children",
"state": null,
"license": null,
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Keokuk, IA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 24, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.