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MOUNT VERNON FAMILY MEDICINE
NPI 1457394645
Durable Medical Equipment & Medical Supplies in Mount Vernon, IA

Active since June 14, 2006CLIA 16D2305081 · Waiver
200 VIRGIL AVE SE, MOUNT VERNON, IA 52314(319) 895-8841(319) 895-8477 Get Directions Write a Review

NPPES record last updated: August 16, 2012. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Mount Vernon Family Medicine NPPES

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

MOUNT VERNON FAMILY MEDICINE (NPI 1457394645) is a healthcare organization registered as a durable medical equipment & medical supplies in Mount Vernon, Iowa and active in the NPI registry since June 2006. The organization holds a CLIA Waiver certificate valid through May 22, 2028 and lists Erick J Laine, Coo, as its authorized official.

NPPES Registry Identity

NPI1457394645
Entity TypeOrganization
Primary Taxonomy332B00000X
Legal Business NameIOWA PHYSICIANS CLINIC MEDICAL FOUNDATION
Location Address200 VIRGIL AVE SEMount Vernon, IA 52314-1589
Mailing Address8101 Birchwood Court, Suite RJohnston, IA 50131-2930 · (515) 471-9243 · Fax (515) 471-9319
Phone(319) 895-8841
Fax(319) 895-8477
Organization SubpartYes
Authorized OfficialErick J LaineCoo · (515) 471-9227
Enumeration DateJune 14, 2006
Last NPPES UpdateAugust 16, 2012
✔ NPI 1457394645 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDurable Medical Equipment & Medical SuppliesSuppliers
Taxonomy Code332B00000X
Definition
A supplier of medical equipment such as respirators, wheelchairs, home dialysis systems, or monitoring systems, that are prescribed by a physician for a patient's use in the home and that are usable for an extended period of time.
200 VIRGIL AVE SE, Mount Vernon, IA 52314
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Other Names 1

Doing Business AsMount Vernon Family Medicine

Other Identifiers 1

Medicare NSC1100240034IA

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 Waiver 16D2305081

Mount Vernon Family Medicine · Mount Vernon, IA
Active · expires May 22, 2028
CLIA Number16D2305081
Laboratory TypePhysician Office
Certificate Effective DateMay 23, 2026
Certificate Expiration DateMay 22, 2028
Laboratory DirectorJamie M. Smith
Laboratory Phone(319) 361-5875
Laboratory LocationMount Vernon Family Medicine107 First St NE, Mount Vernon, IA 52314
CLIA data matches this NPI record on: Name
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES 3

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

CLAYTON T SCHUETT DO
Family Medicine
200 VIRGIL AVE SE
MOUNT VERNON, IA 52314
Linn County (319) 895-8841
TIERNIE J. KLUVER PA
Physician Assistant
200 VIRGIL AVE SE
MOUNT VERNON, IA 52314
Linn County (319) 895-8841
DR. BENJAMIN HARRISON DANIELS MD
Family Medicine
200 VIRGIL AVE SE
MOUNT VERNON, IA 52314
Linn County (319) 895-8841

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 Iowa Physicians Clinic Medical Foundation's NPI number?

The NPI number for Iowa Physicians Clinic Medical Foundation is 1457394645. It was assigned to this organization in the NPPES registry on June 14, 2006. The provider is doing business as Mount Vernon Family Medicine.

Where is Iowa Physicians Clinic Medical Foundation located?

Iowa Physicians Clinic Medical Foundation is located at 200 Virgil Ave SE, Mount Vernon, IA 52314. The listed phone number is (319) 895-8841.

What is Iowa Physicians Clinic Medical Foundation's specialty?

The primary specialty registered for this NPI is Durable Medical Equipment & Medical Supplies with taxonomy code 332B00000X.

Does Iowa Physicians Clinic Medical Foundation hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 16D2305081) is associated with this NPI, valid through May 22, 2028. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Iowa Physicians Clinic Medical Foundation was last updated on August 16, 2012. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 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.