Usa Healthcare Fort Dodge

LBN: Usa Healthcare Fort Dodge
Usa Healthcare Fort Dodge is an health care organization with primary practice located at 728 14Th Ave N , Fort Dodge IA 50501-7016. The organization recently has only one registered license in Nursing & Custodial Care Facilities / Skilled Nursing Facility, which is considered as the primary health care specialty. Usa Healthcare Fort Dodge can be contacted via phone (515) 576-7226, or through Stewart, Stephanie via phone (515) 576-7226.

Contact Information

Primary practice address
728 14Th Ave N Fort Dodge IA 50501-7016
Fax: (515) 573-2865
Website:
Authorized official contact:
Name: Stewart, Stephanie

Health care specialties

SpecialtyCodeLicense #State
Nursing & Custodial Care Facilities / Skilled Nursing Facility 314000000X 940900 Iowa

Profile Details

NPI number 1164429775
LBN Legal business name Usa Healthcare Fort Dodge
DBA Doing business as
Authorized official Stewart, Stephanie
Entity Organization
Organization subpart 1 No
Enumeration date Jun 29th, 2005
Last updated Sep 13th, 2007 - about 17 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1164429775 NPPES
Iowa Other 65156 BCBS PROV #
Iowa MEDICAID 0804906 BCBS PROV #

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