1386642510 NPI number — ADAIR HEALTHCARE CENTER

Table of content: (NPI 1386642510)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1386642510 NPI number — ADAIR HEALTHCARE CENTER

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
ADAIR HEALTHCARE CENTER
Provider Last Name:
Provider First Name:
Provider Middle Name:
Provider Name Prefix Text:
Provider Name Suffix Text:
Provider Credential Text:
Provider Gender Code:

Provider's Other Name Information

Provider Other Organization Name:
Provider Other Organization Name Type Code:
Provider Other Last Name:
Provider Other First Name:
Provider Other Middle Name:
Provider Other Name Prefix Text:
Provider Other Name Suffix Text:
Provider Other Credential Text:
Provider Other Last Name Type Code:

NPI Number Information

NPI Number:
1386642510
Entity Type Code:
Organization
Replacement NPI:
Last Update Date:
08/22/2020
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
608 NORTH ST
Provider Second Line Business Mailing Address:
BOX 92A
Provider Business Mailing Address City Name:
ADAIR
Provider Business Mailing Address State Name:
IA
Provider Business Mailing Address Postal Code:
50002-1126
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
Provider Business Mailing Address Fax Number:

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
608 NORTH ST
Provider Second Line Business Practice Location Address:
BOX 92A
Provider Business Practice Location Address City Name:
ADAIR
Provider Business Practice Location Address State Name:
IA
Provider Business Practice Location Address Postal Code:
50002-1126
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
641-742-3205
Provider Business Practice Location Address Fax Number:
Provider Enumeration Date:
07/12/2005

Additional Information

			
		

Authorized Official

Authorized Official Last Name:
GROFF
Authorized Official First Name:
HOWIE
Authorized Official Middle Name:
Authorized Official Title or Position:
PRESIDENT
Authorized Official Telephone Number:
952-888-2923

Provider Taxonomy Codes

  • Taxonomy code: 314000000X , with the licence number:  N-706 , registered in the state of IA ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

Other Provider's Identifiers (legacy, non-NPI)

  • Identifier: 0808733 , issued by the state of ( IA ) . This identifiers is of the category "MEDICAID".