1. Home
  2. Directory
  3. Iowa
  4. Denison
  5. Family Medicine
  6. NPI Profile

CCMH MEDICAL CLINIC
NPI 1174793285
Family Medicine in Denison, IA

Active since March 04, 2008CLIA 16D0711119 · Microscopy
100 MEDICAL PKWY, SUITE A, DENISON, IA 51442(712) 265-2700(712) 263-1777 Get Directions Write a Review

NPPES record last updated: November 28, 2011. Verified against the NPPES registry weekly; last sync: September 27, 2026.

About Ccmh Medical Clinic NPPES

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

CCMH MEDICAL CLINIC (NPI 1174793285) is a healthcare organization registered as a family medicine in Denison, Iowa and active in the NPI registry since March 2008. The organization holds a CLIA Microscopy certificate valid through December 31, 2027 and lists Nancy J. Carlson, Chief Financial Officer, as its authorized official.

NPPES Registry Identity

NPI1174793285
Entity TypeOrganization
Primary Taxonomy207Q00000X
Legal Business NameCRAWFORD COUNTY MEMORIAL HOSPITAL
Location Address100 MEDICAL PKWY, SUITE ADenison, IA 51442-2607
Mailing Address100 Medical Pkwy, Suite ADenison, IA 51442-2607 · (712) 265-2700 · Fax (712) 263-1777
Phone(712) 265-2700
Fax(712) 263-1777
Organization SubpartYes
Authorized OfficialNancy J. CarlsonChief Financial Officer · (712) 265-2505
Enumeration DateMarch 4, 2008
Last NPPES UpdateNovember 28, 2011
✔ NPI 1174793285 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
Also ListedPhysician AssistantTaxonomy 363A00000X
Also ListedNurse PractitionerTaxonomy 363L00000X
100 MEDICAL PKWY, Denison, IA 51442
Open in Google Maps ↗

Other Names 1

Other NameCcmh Medical Clinic

Other Identifiers 3

Medicaid0154542IA
Other51356IA · Wellmark
Medicare PIN51356IA

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X MULTIPLE SINGLE SPECIALTY GROUP

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 for Provider-Performed Microscopy Procedures (PPMP) 16D0711119

Ccmh Medical Clinic · Denison, IA
Active · expires Dec 31, 2027
CLIA Number16D0711119
Laboratory TypeRural Health Clinic
Certificate Effective DateJanuary 1, 2026
Certificate Expiration DateDecember 31, 2027
Laboratory DirectorMichael P. Luft
Laboratory Phone(712) 265-2700
Laboratory LocationCcmh Medical Clinic100 Medical Parkway, Suite A & B, Denison, IA 51442
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory in which a physician, midlevel practitioner or dentist performs no tests other than the microscopy procedures. This certificate permits the laboratory to also perform waived tests.

Other Providers at the Same Location NPPES 16

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

DAVID J. WRIGHT D.O.
Surgery
100 MEDICAL PKWY, SUITE A
DENISON, IA 51442
Crawford County (712) 265-2700
MR. CHARLES REGINALD ELAM IV
Nurse Anesthetist, Certified Registered
100 MEDICAL PKWY
DENISON, IA 51442
Crawford County (712) 265-2683
SAMANTHA JEAN PAULEY ARNP
Nurse Practitioner (Family)
100 MEDICAL PKWY
DENISON, IA 51442
Crawford County (712) 269-9702
CRAWFORD COUNTY MEMORIAL HOSPITAL
Personal Emergency Response Attendant
100 MEDICAL PKWY
DENISON, IA 51442
Crawford County (712) 265-2500
ERIN LOUISE SCHECHINGER ARNP
Nurse Practitioner
100 MEDICAL PKWY
DENISON, IA 51442
Crawford County (712) 265-2500
KIAYA CONRAD PA-C
Physician Assistant
100 MEDICAL PKWY
DENISON, IA 51442
Crawford County (712) 265-2700
MACKLIN ALEXANDER CONRAD
Physician Assistant
100 MEDICAL PKWY
DENISON, IA 51442
Crawford County (712) 265-2700
PATRICK LUFT
Family Medicine
100 MEDICAL PKWY
DENISON, IA 51442
Crawford County (712) 265-2500

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Crawford County Memorial Hospital's NPI number?

The NPI number for Crawford County Memorial Hospital is 1174793285. It was assigned to this organization in the NPPES registry on March 4, 2008. The provider is also known as Ccmh Medical Clinic.

Where is Crawford County Memorial Hospital located?

Crawford County Memorial Hospital is located at 100 Medical Pkwy Suite A, Denison, IA 51442. The listed phone number is (712) 265-2700.

What is Crawford County Memorial Hospital's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Does Crawford County Memorial Hospital hold a CLIA laboratory certificate?

Yes. A Certificate for Provider-Performed Microscopy Procedures (PPMP) (number 16D0711119) is associated with this NPI, valid through December 31, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Crawford County Memorial Hospital was last updated on November 28, 2011. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.