Organization Active NPI

Hawkeye Care Center of Marshalltown

  • Skilled Nursing Facility
  • Marshalltown, IA
National Provider Identifier
1851606784
Registry record updated Sep 8, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Skilled Nursing FacilityTaxonomy code 314000000X
License
640803 Issued in IA
Legal business name
HAWKEYE CARE CENTER OF MARSHALLTOWN
Practice address
2401 S 2ND St
Marshalltown, IA 50158-4402
Phone
(641) 752-1553
Fax
(641) 754-4125
NPI assigned
Aug 16, 2010
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 8, 2015

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

Authorized official

Name
Doug Johnson
Title
President
Phone
(515) 223-0173

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Skilled Nursing Facility 314000000X 640803 IA Primary

Addresses

Primary practice location

2401 S 2ND St
Marshalltown, IA 50158-4402

Mailing address

1912 Zenith Ave
Suite 2526
Spirit Lake, IA 51360-1000
Phone (712) 759-1321

Other names 1

  • Hawkeye Care Center Marshalltown Doing business as

National Provider Directory

National Provider Directory

Locations

1912 Zenith Ave
Ste 2526
Spirit Lake, IA 51360

NPI Registry JSON

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

{
    "created_epoch": "1281916800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1441670400000",
    "number": "1851606784",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1912 ZENITH AVE",
            "address_2": "SUITE 2526",
            "city": "SPIRIT LAKE",
            "state": "IA",
            "postal_code": "513601000",
            "telephone_number": "712-759-1321",
            "fax_number": "712-759-1322"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2401 S 2ND ST",
            "city": "MARSHALLTOWN",
            "state": "IA",
            "postal_code": "501584402",
            "telephone_number": "641-752-1553",
            "fax_number": "641-754-4125"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HAWKEYE CARE CENTER OF MARSHALLTOWN",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-08-16",
        "last_updated": "2015-09-08",
        "status": "A",
        "authorized_official_last_name": "JOHNSON",
        "authorized_official_first_name": "DOUG",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "515-223-0173"
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "IA",
            "license": "640803",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Hawkeye Care Center Marshalltown",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Marshalltown, IA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 8, 2015; 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.