Iowa Physicians Clinic Medical Foundation

Primary specialty

Rural Health Clinic/CenterTaxonomy code 261QR1300X

Legal business name

IOWA PHYSICIANS CLINIC MEDICAL FOUNDATION

Doing business as

Mechanicsville Family Medicine

Practice address

202 E 1St St
Mechanicsville, IA 52306-7701

Phone

(563) 432-7215

Fax

(563) 432-7758

NPI assigned

Jun 26, 2006

Last updated

Aug 15, 2012By the provider in NPPES

Organization subpart

Yes

Parent organization

IOWA PHYSICIANS CLINIC MEDICAL FOUNDATIONAs reported in NPPES

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

Authorized official

Name

Erick J Laine

Title

Coo

Phone

(515) 471-9227

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Mechanicsville Family Medicine Doing business as

Part of

Iowa Phy Medical Foundation

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

{
    "created_epoch": "1151280000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1344988800000",
    "number": "1912934969",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8101 BIRCHWOOD COURT",
            "address_2": "SUITE R",
            "city": "JOHNSTON",
            "state": "IA",
            "postal_code": "501312930",
            "telephone_number": "515-471-9243",
            "fax_number": "515-471-9319"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "202 E 1ST ST",
            "city": "MECHANICSVILLE",
            "state": "IA",
            "postal_code": "523067701",
            "telephone_number": "563-432-7215",
            "fax_number": "563-432-7758"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "IOWA PHYSICIANS CLINIC MEDICAL FOUNDATION",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "IOWA PHYSICIANS CLINIC MEDICAL FOUNDATION",
        "enumeration_date": "2006-06-26",
        "last_updated": "2012-08-15",
        "status": "A",
        "authorized_official_last_name": "LAINE",
        "authorized_official_first_name": "ERICK",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "COO",
        "authorized_official_telephone_number": "515-471-9227"
    },
    "taxonomies": [
        {
            "code": "261QR1300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Rural Health",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0689109",
            "state": "IA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Mechanicsville Family Medicine",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Care Initiatives (Mechanicsville Specialty Care)
• Cedar Chiropractic and Acupuncture Clinic, Inc
• City of Mechanicsville
• Marie Lynn Davis
• K. a. Ward, D. C., Chiropractic Clinic, P. C.
• Lindsey E Weers Austin, D.C.

• Rural Health Clinic/Center in Mechanicsville, IA
• Providers in Mechanicsville, IA by specialty
• Rural Health Clinic/Center in Iowa

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 15, 2012; 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.