Organization Active NPI

Hegg Medical Clinic

  • Durable Medical Equipment & Medical Supplies
  • Rock Valley, IA
National Provider Identifier
1912077348
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X
Legal business name
HEGG MEDICAL CLINIC
Practice address
2121 Hegg Dr
Rock Valley, IA 51247-1445
Phone
(712) 476-8100
Fax
(712) 476-8190
NPI assigned
Nov 9, 2006
Last updated
Aug 22, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Ms. Delores J Vangrootheest
Title
Business Office - Ar Supervisor
Phone
(712) 476-8100

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Durable Medical Equipment & Medical Supplies 332B00000X IA Primary

Addresses

Primary practice location

2121 Hegg Dr
Rock Valley, IA 51247-1445

Mailing address

2121 Hegg Dr
Rock Valley, IA 51247-1445
Phone (712) 476-8100

Other identifiers 1

IdentifierTypeStateIssuer
0445783MedicaidIA

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1163030400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1912077348",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2121 HEGG DR",
            "city": "ROCK VALLEY",
            "state": "IA",
            "postal_code": "512471445",
            "telephone_number": "712-476-8100",
            "fax_number": "712-476-8190"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2121 HEGG DR",
            "city": "ROCK VALLEY",
            "state": "IA",
            "postal_code": "512471445",
            "telephone_number": "712-476-8100",
            "fax_number": "712-476-8190"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HEGG MEDICAL CLINIC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-09",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "VANGROOTHEEST",
        "authorized_official_first_name": "DELORES",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "BUSINESS OFFICE - AR SUPERVISOR",
        "authorized_official_telephone_number": "712-476-8100",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "IA",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0445783",
            "state": "IA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Rock Valley, IA

Sources for this page

  • 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.