Trimark Physicians Group
Organization Active NPI Rural Health Clinic/Center · Fonda, IA
NPI 1831468073 · NPPES record last updated May 13, 2013
Key facts
- NPI
- 1831468073
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Rural Health Clinic/Center 261QR1300X
- Legal business name
- TRIMARK PHYSICIANS GROUP
- Practice address
- 101 N Main St
Fonda, IA 50540-7729 - Phone
- (712) 288-4426
- Fax
- (712) 288-4425
- NPI assigned
- Dec 16, 2011
- Organization subpart
- Yes
- Parent organization (as reported)
- TRIMARK PHYSICIANS GROUP
Authorized official
- Name
- Michael J. Dewerff
- Title
- Cfo
- Phone
- (515) 574-6603
Corporate family (same tax ID) 20
National Provider Directory
- Tax ID family
- Jeffrey Carandall MD
- Part of
- Trimark Physicians Group
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Rural Health Clinic/Center | 261QR1300X | Yes |
Addresses
Primary practice location
101 N Main St
Fonda, IA 50540-7729
Mailing address
802 Kenyon Rd
Fort Dodge, IA 50501-5740
Phone (515) 574-6890
Other names
- UnityPoint Clinic
Other providers in Fonda, IA
- Care Initiatives
- Fonda City of
- Iowa Physicians Clinic Medical Foundation
- Renee Maneman
- Trimark Physicians Group Inc
- Trinity Regional Medical Center
All providers in Fonda, IA · Rural Health Clinic/Center in Iowa
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on May 13, 2013. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.