Fountain Health Centers, Inc.

Primary specialty

Skilled Nursing FacilityTaxonomy code 314000000X

License

N-231 Issued in IA

Legal business name

FOUNTAIN HEALTH CENTERS, INC.

Practice address

1501 Office Park Rd
West Des Moines, IA 50265-2497

Phone

(515) 223-1223

Fax

(515) 223-6345

NPI assigned

Sep 21, 2005

Organization subpart

No

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

Authorized official

Name

Mr. Gary A Tiemeyer, LNHA

Title

Administrator

Phone

(515) 223-1223

Specialties & licenses 1

Addresses

Other identifiers 1

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

{
    "created_epoch": "1127260800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1891781399",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1501 OFFICE PARK RD",
            "city": "WEST DES MOINES",
            "state": "IA",
            "postal_code": "502652497",
            "telephone_number": "515-223-1223",
            "fax_number": "515-223-6345"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1501 OFFICE PARK RD",
            "city": "WEST DES MOINES",
            "state": "IA",
            "postal_code": "502652497",
            "telephone_number": "515-223-1223",
            "fax_number": "515-223-6345"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FOUNTAIN HEALTH CENTERS, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-09-21",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "TIEMEYER",
        "authorized_official_first_name": "GARY",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "515-223-1223",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "LNHA"
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "IA",
            "license": "N-231",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0801274",
            "state": "IA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Abi Lynn Fortsch, M.A., CFY-SLP
• Forward Path Wellness
• Bryan Foster, PA-C
• Kristina A Foster, PT, DPT
• Fountain Health Centers, Inc.
• Robert Joseph Foust, DDS
• Kristen Marie Fox, M.S. CCC/SLP
• Mark Herbert Fox, MD
• Foxglove Chiropractic LLC
• Michael C Fraizer, M.D.

• Skilled Nursing Facility in West Des Moines, IA
• Providers in West Des Moines, IA by specialty
• Skilled Nursing Facility in Iowa

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.