Central Iowa Healthcare

Primary specialty

Rural Health Clinic/CenterTaxonomy code 261QR1300X

Legal business name

CENTRAL IOWA HEALTHCARE

Doing business as

CIH State Center Clinic

Practice address

503 3Rd Ave SW
State Center, IA 50247-7719

Phone

(641) 844-2970

NPI assigned

Nov 6, 2008

Last updated

Apr 5, 2017By the provider in NPPES

Organization subpart

Yes

Parent organization

CENTRAL IOWA HEALTHCAREAs reported in NPPES

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

Authorized official

Name

Ms. Dawnett L Willis

Title

Acting Ceo

Phone

(641) 754-5145

Specialties & licenses 1

Addresses

Other names 1

• CIH State Center Clinic Doing business as

Part of

Bio Lab

Parent organization (reported in NPPES) 1

This organization reports itself as a subpart in NPPES; the parent’s legal name matches this organization in the same state.

• Central Iowa Healthcare

  • General Acute Care Hospital
  • Marshalltown, IA
  • NPI 1710980032
  NPPES parent name

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

{
    "created_epoch": "1225929600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1491350400000",
    "number": "1831343656",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3 S 4TH AVE",
            "city": "MARSHALLTOWN",
            "state": "IA",
            "postal_code": "501582998",
            "telephone_number": "641-754-5151",
            "fax_number": "641-844-6208"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "503 3RD AVE SW",
            "city": "STATE CENTER",
            "state": "IA",
            "postal_code": "502477719",
            "telephone_number": "641-844-2970"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CENTRAL IOWA HEALTHCARE",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "CENTRAL IOWA HEALTHCARE",
        "enumeration_date": "2008-11-06",
        "last_updated": "2017-04-05",
        "status": "A",
        "authorized_official_last_name": "WILLIS",
        "authorized_official_first_name": "DAWNETT",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "ACTING CEO",
        "authorized_official_telephone_number": "641-754-5145",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "261QR1300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Rural Health",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "CIH State Center Clinic",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Care Initiatives (State Center Specialty Care)
• Central Iowa Physio, LLC
• Rylie A Clatt
• Amanda Michelle Konz, ARNP
• MMSC Ventures Inc (State Center Family Medicine Clinic)
• Luke Pinnick

• Rural Health Clinic/Center in State Center, IA
• Providers in State Center, IA by specialty
• Rural Health Clinic/Center in Iowa

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 5, 2017; 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.