HAWARDEN REGIONAL HEALTHCARE CLINICS LLC
NPI 1013955004
Clinic/Center - Rural Health in Hawarden, IA

Active since June 03, 2006CLIA 16D0385057 · Certificate of Compliance
1122 12TH ST, HAWARDEN, IA 51023(712) 551-3400 Get Directions Write a Review

NPPES record last updated: September 22, 2025. Verified against the NPPES registry weekly; last sync: July 19, 2026.

About Hawarden Regional Healthcare Clinics Llc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

HAWARDEN REGIONAL HEALTHCARE CLINICS LLC (NPI 1013955004), doing business as Hawarden Clinic, is a healthcare organization registered as a rural health in Hawarden, Iowa and active in the NPI registry since June 2006. The organization holds a CLIA Certificate of Compliance certificate valid through February 8, 2027 and lists Jayson P Pullman, President, as its authorized official.

NPPES Registry Identity

NPI1013955004
Entity TypeOrganization
Primary Taxonomy261QR1300X
Legal Business NameHAWARDEN REGIONAL HEALTHCARE CLINICS LLC
Location Address1122 12TH STHawarden, IA 51023-1900
Mailing Address1122 12th StHawarden, IA 51023-1900 · (712) 551-3400 · Fax (712) 551-2691
Organization SubpartNo
Authorized OfficialJayson P PullmanPresident · (712) 551-3100
Enumeration DateJune 3, 2006
Last NPPES UpdateSeptember 22, 2025
NPPES CertifiedSeptember 22, 2025
NPI 1013955004 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyClinic/Center · Rural HealthAmbulatory Health Care Facilities
Taxonomy Code261QR1300X
1122 12TH ST, Hawarden, IA 51023

Other Names 1

Doing Business AsHawarden Clinic

Other Identifiers 1

Medicaid0685032IA

Accepted Insurance

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Compliance 16D0385057

Hawarden Regional Healthcare · Hawarden, IA
Active · expires Feb 8, 2027
CLIA Number16D0385057
Laboratory TypeHospital
Certificate Effective DateFebruary 9, 2025
Certificate Expiration DateFebruary 8, 2027
Laboratory DirectorDouglas W. Lynch
Laboratory Phone(712) 551-3120
Laboratory LocationHawarden Regional Healthcare1111 11th Street, Hawarden, IA 51023
CLIA data matches this NPI record on: Name
This certificate is issued to a laboratory after an inspection that finds the laboratory to be in compliance with all applicable CLIA requirements.

Other Providers at the Same Location NPPES 2

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Family Medicine
1122 12TH ST
HAWARDEN, IA 51023
Physician Assistant (Medical)
1122 12TH ST
HAWARDEN, IA 51023

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1013955004, enumerated as an "organization" on June 03, 2006.

The provider is located at 1122 12TH ST HAWARDEN, IA 51023 and the phone number is (712) 551-3400.

Clinic/Center with taxonomy code 261QR1300X and a focus in Rural Health.

The provider might be accepting Accepts: Ambetter from Home State Health, Ambetter from NH. Please consult your insurance carrier or call the provider to verify.