NPIMap

Organization Active NPI

Trimark Physicians Group

Doing business as UnityPoint Clinic

  • Rural Health Clinic/Center
  • Eagle Grove, IA
National Provider Identifier
1861761009
Registry record updated May 13, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Rural Health Clinic/CenterTaxonomy code 261QR1300X
Legal business name
TRIMARK PHYSICIANS GROUP
Doing business as
UnityPoint Clinic
Practice address
115 S Park Ave
Eagle Grove, IA 50533-2219
Phone
(515) 448-5185
Fax
(515) 448-4405
NPI assigned
Dec 16, 2011
Last updated
May 13, 2013By the provider in NPPES
Organization subpart
Yes
Parent organization
TRIMARK PHYSICIANS GROUPAs reported in NPPES

NPPES NPI Registry

Updated by the provider on May 13, 2013

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

Authorized official

Name
Michael J. Dewerff
Title
Cfo
Phone
(515) 574-6603

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Rural Health Clinic/Center 261QR1300X NU Primary

Addresses

Primary practice location

115 S Park Ave
Eagle Grove, IA 50533-2219

Mailing address

802 Kenyon Rd
Fort Dodge, IA 50501-5740
Phone (515) 574-6890

Other names 1

  • UnityPoint Clinic Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Iowa Phy Medical Foundation21 organizations share this tax ID, including this one
Part of
Unitypoint Clinic Urgent Care

Other organizations with this tax ID 20

Organizations that report the same tax identification number in the National Provider Directory.

View all 20

NPI Registry JSON

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

{
    "created_epoch": "1323993600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1368403200000",
    "number": "1861761009",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "802 KENYON RD",
            "city": "FORT DODGE",
            "state": "IA",
            "postal_code": "505015740",
            "telephone_number": "515-574-6890",
            "fax_number": "515-574-6458"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "115 S PARK AVE",
            "city": "EAGLE GROVE",
            "state": "IA",
            "postal_code": "505332219",
            "telephone_number": "515-448-5185",
            "fax_number": "515-448-4405"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TRIMARK PHYSICIANS GROUP",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "TRIMARK PHYSICIANS GROUP",
        "enumeration_date": "2011-12-16",
        "last_updated": "2013-05-13",
        "status": "A",
        "authorized_official_last_name": "DEWERFF",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_middle_name": "J.",
        "authorized_official_title_or_position": "CFO",
        "authorized_official_telephone_number": "515-574-6603"
    },
    "taxonomies": [
        {
            "code": "261QR1300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Rural Health",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "UnityPoint Clinic",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Eagle Grove, IA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 13, 2013; 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.