WOODWARD RESOURCE CENTER (NPI# 1710018684) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1710018684 |
| Entity Type | Organization |
| Organization Name | WOODWARD RESOURCE CENTER |
| Practice Address |
1251 334th St Woodward IA 50276-7509 |
| Practice Telephone | 5154382600 |
| Practice Fax Number | 5154383122 |
| Mailing Telephone | 5154382600 |
| Mailing Fax Number | 5154383122 |
| Enumeration Date | 2007-03-09 |
| Last Update Date | 2008-07-30 |
| Authorized Official Name | BARRY A WILLS (BUSINESS MANAGER) |
| Authorized Official Telephone | 5154383121 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 315P00000X | Intermediate Care Facility, Mentally Retarded | 080069 | IA | Nursing & Custodial Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| IA | 0880088 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1487786281 | Woodward Resource Center | Respite Care | 1251 334th St, Woodward, IA 50276-7509 | 2007-03-09 |
| Street Address |
1251 334TH ST |
| City | WOODWARD |
| State | IA |
| Zip Code | 50276-7509 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1821083510 | William Robert Pettit | Family Medicine | 1251 334th St, Woodward Resource Center, Woodward, IA 50276-7509 | 2005-09-19 |
| 1295333862 | Samantha Adell Rives | Counselor | 1251 334th St, Woodward, IA 50276-7509 | 2020-10-15 |
| 1740888312 | Jasmina Pajazetovic | Counselor | 1251 334th St, Woodward, IA 50276-7509 | 2020-10-15 |
| 1902404577 | Tonna Lin Lawrenson | Counselor | 1251 334th St, Woodward, IA 50276-7509 | 2020-10-15 |
| 1538767108 | Michelle Denise Fenelon | Social Worker | 1251 334th St, Woodward, IA 50276-7509 | 2020-10-15 |
| 1194335752 | Laci Leigh Struble | Counselor | 1251 334th St, Woodward, IA 50276-7509 | 2020-08-07 |
| 1962806158 | Woodward Youth Corporation | Residential Treatment Facility, Emotionally Disturbed Children | 1251 334th St, Woodward, IA 50276-7509 | 2014-10-16 |
| 1023204773 | Woodward Academy | Psychiatric Residential Treatment Facility | 1251 334th St, Woodward, IA 50276-7509 | 2007-09-17 |
| 1215140959 | Sequel Care of Iowa, LLC | Social Worker | 1251 334th St, Woodward, IA 50276-7509 | 2007-05-08 |
| 1821211632 | James Royal Prickett | Counselor | 1251 334th St, Woodward, IA 50276-7509 | 2007-04-10 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1851639793 | State of Iowa Services Woodward | Pharmacy | 1251 3334th St, Woodward, IA 50276 | 2013-01-28 |
| 1215247473 | Woodward-granger C.s.d. | Local Education Agency (LEA) | 306 W. 3rd Street, Woodward, IA 50276 | 2010-10-20 |
| 1578755328 | Priya Daisy Thomas | Physician Assistant | 1251, 334th Street, Woodward Resource Center, Woodward, IA 50276 | 2007-08-15 |
| 1053438119 | Sherrill Jean Phillips | Pharmacist | 1251 334th Street, Woodward, IA 50276 | 2007-03-23 |
| 1447302906 | Wan Yung Shin | General Practice | 1215 334th Street, Woodward, IA 50276 | 2007-01-17 |
| 1184741233 | Gary W Ellett | Pharmacist | 1251 334th Street, Woodward, IA 50276 | 2007-03-23 |
| 1093832115 | Marlin James Stirm | Pharmacist | 1251 334th Street, Woodward, IA 50276 | 2007-03-23 |
| 1215084454 | Family Advocacy Resources | Counselor | 124 South Main, Woodward, IA 50276 | 2007-01-03 |
| 1104819473 | Family Advocacy Resources | Clinic/Center | 124 South Main, Woodward, IA 50276-0410 | 2005-08-23 |
| 1720614456 | Stacie M Mallon | Nurse Practitioner | 30865 130th Ct, Woodward, IA 50276-6209 | 2020-03-13 |
| Find all providers in zip 50276 | ||||
| Taxonomy Code | 315P00000X |
| Grouping | Nursing & Custodial Care Facilities |
| Classification | Intermediate Care Facility, Mentally Retarded |
| (1) A public institution for care of the mentally retarded or people with related conditions. (2) An institution giving active treatment to mentally retarded or developmentally disabled persons or persons with related conditions. The primary purpose of the institution is to provide health or rehabilitative services to such individuals. |
| Notes: Sources: (1) Lexikon: Dictionary of Health Care Terms, Organizations and Acronyms for the Era of Reform, Joint Commission on Accreditation of Healthcare Organizations, Oakbrook Terrace, IL: 1994, p. 403 (2) Paraphrased from Code of Federal Regulations #42, Public Health, Section 440.150(c). |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1912528266 | One Vision | Intermediate Care Facility, Mentally Retarded | 755 Pebblestone Lane, Garner, IA 50428 | 2020-04-28 |
| 1912544123 | Handicap Village | Intermediate Care Facility, Mentally Retarded | 1140 Limestone St, Mason City, IA 50401 | 2019-12-06 |
| 1003460312 | Rem Iowa, Inc. | Intermediate Care Facility, Mentally Retarded | 143 16th Ave Sw, Cedar Rapids, IA 52404 | 2019-07-25 |
| 1811541121 | Rem Iowa, Inc. | Intermediate Care Facility, Mentally Retarded | 2620 33rd Ave Sw, Cedar Rapids, IA 52404 | 2019-07-25 |
| 1952767162 | G & G Living Centers, Inc. | Intermediate Care Facility, Mentally Retarded | 602 Kosciusko St., Guttenberg, IA 52052-0967 | 2016-01-05 |
| 1487920351 | Mosaic | Intermediate Care Facility, Mentally Retarded | 835 S 7th St, Forest City, IA 50436-2127 | 2012-03-26 |
| 1306112271 | Mosaic | Intermediate Care Facility, Mentally Retarded | 102 Kellys Ct, Forest City, IA 50436-2245 | 2012-03-26 |
| 1710253687 | Mosaic | Intermediate Care Facility, Mentally Retarded | 105 Kellys Ct, Forest City, IA 50436-2245 | 2012-03-26 |
| 1831465715 | Mosaic | Intermediate Care Facility, Mentally Retarded | 315 Country Club Dr, Belmond, IA 50421-1740 | 2012-03-26 |
| 1851666820 | Mosaic | Intermediate Care Facility, Mentally Retarded | 718 S 13th St, Nevada, IA 50201-2435 | 2012-03-09 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.