Organization Active NPI

Floyd County Hosp

Doing business as dba VAL LYONS

  • Vascular & Interventional Radiology Physician
  • Charles City, IA
National Provider Identifier
1962472068
Registry record updated Oct 7, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Vascular & Interventional Radiology PhysicianTaxonomy code 2085R0204X
License
340138H Issued in IA
Legal business name
FLOYD COUNTY HOSP
Doing business as
dba VAL LYONS
Practice address
800 11TH St
Charles City, IA 50616-3468
Phone
(641) 228-6830
Fax
(641) 257-4336
NPI assigned
Jan 23, 2006
Last updated
Oct 7, 2021By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 7, 2021

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

Authorized official

Name
Dawnett Willis
Title
Ceo
Phone
(641) 228-6830

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Vascular & Interventional Radiology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 2085R0204X 340138H IA Primary

Addresses

Primary practice location

800 11TH St
Charles City, IA 50616-3468

Mailing address

800 11TH St
Charles City, IA 50616-3468
Phone (641) 228-6830

Other identifiers 1

IdentifierTypeStateIssuer
1073213MedicaidIA

Other names 1

  • dba VAL LYONS Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Floyd County Hosp ER5 organizations share this tax ID, including this one

Other organizations with this tax ID 4

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": "1137974400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1633564800000",
    "number": "1962472068",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "800 11TH ST",
            "city": "CHARLES CITY",
            "state": "IA",
            "postal_code": "506163468",
            "telephone_number": "641-228-6830",
            "fax_number": "641-257-4336"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "800 11TH ST",
            "city": "CHARLES CITY",
            "state": "IA",
            "postal_code": "506163468",
            "telephone_number": "641-228-6830",
            "fax_number": "641-257-4336"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FLOYD COUNTY HOSP",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-01-23",
        "last_updated": "2021-10-07",
        "certification_date": "2021-09-30",
        "status": "A",
        "authorized_official_last_name": "WILLIS",
        "authorized_official_first_name": "DAWNETT",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "641-228-6830"
    },
    "taxonomies": [
        {
            "code": "2085R0204X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Radiology, Vascular & Interventional Radiology",
            "state": "IA",
            "license": "340138H",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1073213",
            "state": "IA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "dba VAL LYONS",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "dba VAL LYONS",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Charles City, IA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 7, 2021; 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.