Underwood Family Practice
Organization Active NPI Family Nurse Practitioner · Underwood, IA
NPI 1902935554 · NPPES record last updated Jun 18, 2008
Key facts
- NPI
- 1902935554
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Family Nurse Practitioner 363LF0000X
- License
- A-082459 (IA)
- Legal business name
- UNDERWOOD FAMILY PRACTICE
- Practice address
- 401 Highway St
Underwood, IA 51576-0218 - Phone
- (712) 566-9148
- Fax
- (712) 566-9408
- NPI assigned
- Mar 2, 2007
- Organization subpart
- No
Authorized official
- Name
- Mr. Rick W Ogg
- Title
- Administraror
- Phone
- (712) 566-9148
National Provider Directory
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner |
363LF0000X | A-082459 | IA | Yes |
Addresses
Primary practice location
401 Highway St
Underwood, IA 51576-0218
Mailing address
401 Highway St
PO Box 218
Underwood, IA 51576-0218
Phone (712) 566-9148
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0732545 | Medicaid | IA | |
| DF0999 | Other | IA | RAILROAD MEDICARE |
Other providers in Underwood, IA
- Kimberly Ann Madsen
- Amy Lynn Schafer
- Jacqueline Ruth Sullivan-Ogg
- Underwood Community School District
- Underwood Family Practice
All providers in Underwood, IA · Family Nurse Practitioner in Iowa
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jun 18, 2008. 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.