Active NPI
Grinnell Family Care PC
- Family Medicine Physician
- Grinnell, IA
National Provider Identifier
1972617611
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- Legal business name
- GRINNELL FAMILY CARE PC
- Practice address
- 217 4TH Ave W
Grinnell, IA 50112-1895 - Phone
- (641) 236-7524
- Fax
- (641) 236-7944
- NPI assigned
- Aug 19, 2006
- Last updated
- Oct 11, 2007
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Lynnda Risting
- Title
- Office Manager
- Phone
- (641) 236-7524
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | Primary |
Addresses
Primary practice location
217 4TH Ave W
Grinnell, IA 50112-1895
Mailing address
217 4TH Ave W
Grinnell, IA 50112-1895
Phone (641) 236-7524
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0120006 | Medicaid | IA |
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1155945600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1192060800000",
"number": "1972617611",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "217 4TH AVE W",
"city": "GRINNELL",
"state": "IA",
"postal_code": "501121895",
"telephone_number": "641-236-7524",
"fax_number": "641-236-7944"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "217 4TH AVE W",
"city": "GRINNELL",
"state": "IA",
"postal_code": "501121895",
"telephone_number": "641-236-7524",
"fax_number": "641-236-7944"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "GRINNELL FAMILY CARE PC",
"organizational_subpart": "NO",
"enumeration_date": "2006-08-19",
"last_updated": "2007-10-11",
"status": "A",
"authorized_official_last_name": "RISTING",
"authorized_official_first_name": "LYNNDA",
"authorized_official_title_or_position": "OFFICE MANAGER",
"authorized_official_telephone_number": "641-236-7524"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "0120006",
"state": "IA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Grinnell, IA
- Melony Gerber, DPT
- Gene Stebbins Gessner, MD
- Ashley Glenn, PHARMD
- Ashley Grace Grimm
- Grinnell Eye Care PC
- Grinnell Health Alliance (Grinnell Regional Mental Health)
- Grinnell Health Care Center, LLC
- Grinnell Health Care Investors LLC (TruRehab of Grinnell)
- Grinnell Recovery LLC (Hickory Treatment Center at Grinnell)
- Grinnell Regional Medical Center (Unitypoint Health - Grinnell Public Health)
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 11, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.