NPIMap

Organization Active NPI

Adair County Memorial Hospital

Doing business as Adair County Memorial Hospital NP Group

  • Family Nurse Practitioner
  • Greenfield, IA
National Provider Identifier
1902943384
Registry record updated Aug 5, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
Legal business name
ADAIR COUNTY MEMORIAL HOSPITAL
Doing business as
Adair County Memorial Hospital NP Group
Practice address
609 SE Kent St
Greenfield, IA 50849-9454
Phone
(641) 743-2123
Fax
(641) 743-7294
NPI assigned
Feb 1, 2007
Last updated
Aug 5, 2013By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 5, 2013

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

Authorized official

Name
Kevin Heinzeroth
Title
Cfo
Phone
(641) 743-2123

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse PractitionerGroup: 193400000X SINGLE SPECIALTY GROUP 363LF0000X Primary

Addresses

Primary practice location

609 SE Kent St
Greenfield, IA 50849-9454

Mailing address

609 SE Kent St
Greenfield, IA 50849-9454
Phone (641) 743-2123

Other identifiers 1

IdentifierTypeStateIssuer
1600700MedicaidIA

Other names 1

  • Adair County Memorial Hospital NP Group Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Adair County Mem Hosp6 organizations share this tax ID, including this one

Other organizations with this tax ID 5

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

NPI Registry JSON

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

{
    "created_epoch": "1170288000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1375660800000",
    "number": "1902943384",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "609 SE KENT ST",
            "city": "GREENFIELD",
            "state": "IA",
            "postal_code": "508499454",
            "telephone_number": "641-743-2123",
            "fax_number": "641-743-7294"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "609 SE KENT ST",
            "city": "GREENFIELD",
            "state": "IA",
            "postal_code": "508499454",
            "telephone_number": "641-743-2123",
            "fax_number": "641-743-7294"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ADAIR COUNTY MEMORIAL HOSPITAL",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-01",
        "last_updated": "2013-08-05",
        "status": "A",
        "authorized_official_last_name": "HEINZEROTH",
        "authorized_official_first_name": "KEVIN",
        "authorized_official_title_or_position": "CFO",
        "authorized_official_telephone_number": "641-743-2123"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Nurse Practitioner, Family",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1600700",
            "state": "IA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Adair County Memorial Hospital NP Group",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Greenfield, IA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 5, 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.