ATLANTIC MEDICAL CENTER (CASS COUNTY MEDICAL CLINICS, INC.) NPI 1821198896

Clinic/Center in Atlantic, IA

NPI 1821198896 Organization Clinic/Center CLIA Number 16D1070655 CLIA Certificate of Waiver

About ATLANTIC MEDICAL CENTER (CASS COUNTY MEDICAL CLINICS, INC.)

Atlantic Medical Center (cass County Medical Clinics, Inc.) is a provider established in Atlantic, Iowa specializing in clinic/center. The NPI number of Atlantic Medical Center (cass County Medical Clinics, Inc.) is 1821198896 and was assigned on September 2006. The practitioner's primary taxonomy code is 261Q00000X. The provider is registered as an organization and their NPI record was last updated 6 years ago. Atlantic Medical Center (cass County Medical Clinics, Inc.) operates as a single speciality business group with one or more individual providers who practice the same area of specialization. The provider's is doing business as Atlantic Medical Center. The authorized official of this NPI record is Beth E. Spieker (Chief Clinic Administrator)

The CLIA number of Atlantic Medical Center is 16D1070655 registered as a "rural health clinic" facility with a CLIA Certificate of Waiver. This CLIA certificate is issued to Atlantic Medical Center to perform only waived tests. CLIA defines waived tests as simple tests with a low risk for an incorrect result. Waived tests include certain tests listed in CLIA regulations, tests cleared by the FDA for home use and tests approved by the FDA for waived status and that meet CLIA waiver criteria.

NPI

1821198896

Provider NameATLANTIC MEDICAL CENTER (CASS COUNTY MEDICAL CLINICS, INC.)
Provider Location Address1501 E 10TH ST ATLANTIC, IA 50022
Provider Mailing Address1501 E 10TH ST ATLANTIC, IA 50022
NPI Entity TypeOrganization
Is Sole Proprietor?N/A
Is Organization Subpart?Yes
Other Organization NameATLANTIC MEDICAL CENTER
Other Name TypeDoing Business As (3)
Enumeration Date09-22-2006
Last Update Date06-16-2015


Primary Taxonomy

Taxonomy Code261Q00000X
ClassificationClinic/Center
TypeAmbulatory Health Care Facilities
Taxonomy DescriptionA facility or distinct part of one used for the diagnosis and treatment of outpatients. Clinic/Center is irregularly defined, sometimes being limited to organizations serving specialized treatment requirements or distinct patient/client groups (e.g., radiology, poor, and public health).

Business Address

ATLANTIC MEDICAL CENTER
1501 E 10TH ST
ATLANTIC, IA
ZIP 50022
Phone: (712) 243-2850
Fax: (712) 243-7423

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Mailing Address

ATLANTIC MEDICAL CENTER
1501 E 10TH ST
ATLANTIC, IA
ZIP 50022
Phone: (712) 243-2850
Fax: (712) 243-7423



Authorized Official

Authorized Official Name BETH E. SPIEKER
Authorized Official TitleCHIEF CLINIC ADMINISTRATOR
Authorized Official Phone(712) 243-2850

CLIA Information

The Clinical Laboratory Improvement Amendments (CLIA) of 1988 applies to facilities or sites that test human specimens for health assessment or to diagnose, prevent, or treat disease. The CLIA Program sets standards for clinical laboratory testing and issues certificates. The NPI / CLIA crosswalk information for the NPI number 1821198896 is:

CLIA Number16D1070655
Facility TypeRURAL HEALTH CLINIC
Certificate TypeCertificate of Waiver

Group Taxonomy


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

Secondary Taxonomies


The secondary taxonomy codes define the provider type, classification, and specialization. For individual NPIs the license data is associated to each taxonomy code.

No. Taxonomy Code Type Classification Specialization License No. State Primary
1170100000XOther Service ProvidersMedical Genetics, Ph.D. Medical GeneticsN/ANo

Taxonomy Description: a medical geneticist works in association with a medical specialist, is affiliated with a clinical genetics program, and serves as a consultant to medical and dental specialists.

Additional Identifiers


Additional identifier(s) currently or formerly used as an identifier for the provider. The codes may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.

Identifier Type / Code Identifier State
03444MEDICARE ID-TYPE UNSPECIFIED (04)IA
0198192MEDICAID (05)IA

Other Providers at the same location


The following 20 providers are registered at the same or nearby location.

NPI Name / Type Taxonomy Address
1598730954DR. JEFFREY MICHAEL GOERGEN O.D.
Individual
Optometrist1501 E 10TH ST
ATLANTIC, IA 50022
(712) 243-7540
1093770083 CHAD L MCCANCE MD
Individual
Surgery1501 E 10TH ST
ATLANTIC, IA 50022
(712) 243-7535
1699874685 ELEANOR J GREENWALL ARNP
Individual
Nurse Practitioner1501 E 10TH ST
ATLANTIC, IA 50022
(712) 243-2850
1700943719MS. EMILY H KRENGEL R.D.,L.D.
Individual
Dietitian, Registered1501 E 10TH ST
ATLANTIC, IA 50022
(712) 243-3250
1013036037CASS COUNTY MEDICAL CLINICS INC
Organization
Surgery1501 E 10TH ST
ATLANTIC, IA 50022
(712) 243-7535
1538280102DR. MARK DAVID MARKHAM D.D.S.
Individual
Dentist (General Practice)1501 E 10TH ST
ATLANTIC, IA 50022
(712) 243-1833
1437363058DR. SHAWN RAY PETERSEN D.D.S
Individual
Dentist1501 E 10TH ST
ATLANTIC, IA 50022
(712) 243-1833
1669659108MARK D. MARKHAM, DDS, PLC.
Organization
Dentist (General Practice)1501 E 10TH ST
ATLANTIC, IA 50022
(712) 243-1833
1407184518MRS. RACHEL JEAN HANSEN MS,OTR/L
Individual
Occupational Therapist1501 E 10TH ST
ATLANTIC, IA 50022
(712) 243-3250
1649567991 BRENT F GOODRICH CRNA
Individual
Nurse Anesthetist, Certified Registered1501 E 10TH ST
ATLANTIC, IA 50022
(712) 243-3250
1548423726DR. BRIAN SCOTT FIEDLER D.O.
Individual
Family Medicine1501 E 10TH ST
ATLANTIC, IA 50022
(712) 243-2850
1073937389 JORDAN MCPHERON DPT
Individual
Physical Therapist1501 E 10TH ST REHABILITATION SERVICES
ATLANTIC, IA 50022
(712) 243-7564
1689081135 LANA FRAIN
Individual
Occupational Therapist1501 E 10TH ST
ATLANTIC, IA 50022
(712) 243-3250
1386045839 TAMARA BIRELINE
Individual
Nurse Practitioner (Family)1501 E 10TH ST
ATLANTIC, IA 50022
(712) 243-7590
1760581730 TRESSA A WILCOX M.D.
Individual
Family Medicine1501 E 10TH ST
ATLANTIC, IA 50022
(712) 243-2850
1326374414DR. ROGER C. DROWN DPM
Individual
Podiatrist (Foot & Ankle Surgery)1501 E 10TH ST
ATLANTIC, IA 50022
(712) 243-3250
1952769911 DANIEL P VOGEL DPT
Individual
Physical Therapist1501 E 10TH ST
ATLANTIC, IA 50022
(712) 243-7564
1144307810 SUZANNE M BEITZEL ARNP
Individual
Nurse Practitioner (Family)1501 E 10TH ST
ATLANTIC, IA 50022
(712) 243-2850
1083160030 ALYSSA ROGERS OTR
Individual
Occupational Therapist1501 E 10TH ST
ATLANTIC, IA 50022
(712) 243-3250
1932416724 ANDREW JOHN NIEMANN ATC
Individual
Specialist/Technologist (Athletic Trainer)1501 E 10TH ST
ATLANTIC, IA 50022
(712) 249-7598

NPI Footnotes

What is the National Provider Indentifier (NPI)?
The NPI is 10-position all-numeric identification number assigned by the NPPES to uniquely identify a health care provider.

Provider Location Address
The location address of the provider being identified. For providers with more than one physical location, this is the primary location. This address cannot include a Post Office box.

Provider Mailing Address
The mailing address of the provider being identified. This address may contain the same information as the provider location address.

Entity Type Code
The code describing the type of health care provider that is being assigned an NPI.
The entity type codes are:
1 = Person: individual human being who furnishes health care;
2 = Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)

What is a Subpart?
Subparts are the components and separate physical locations of organization health care providers. Subpart examples include:
Hospital components include outpatient departments, surgical centers, psychiatric units, and laboratories. These components are often separately licensed or certified by States and may exist at physical locations other than that of the hospital of which they are a component.

Provider Other Organization Name
The other organization name is the alternative last name by which the provider is or has been known (if an individual) or other name by which the organization provider is or has been known. The code identifying the type of other name. The provider other organization name codes are:
1 = former name;
2 = professional name;
3 = doing business as (d/b/ a) name;
4 = former legal business name; :
5 = other.

Provider Enumeration Date
The date the provider was assigned a unique identifier (assigned an NPI).

Last Update Date
The date that a NPI record was last updated or changed.

Primary Taxonomy Code
The primary taxonomy code defines the provider type, classification, and specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Authorized Official Name
The name of the person authorized to submit the NPI application or to officially change data for a health care provider.