TRIMARK PHYSICIANS GROUP (NPI# 1861761009) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1861761009 |
Entity Type | Organization |
Organization Name | TRIMARK PHYSICIANS GROUP |
Other Organization Name | UNITYPOINT CLINIC |
Practice Address |
115 S Park Ave Eagle Grove IA 50533-2219 |
Mailing Address |
802 Kenyon Rd Fort Dodge IA 50501-5740 |
Practice Telephone | 5154485185 |
Practice Fax Number | 5154484405 |
Mailing Telephone | 5155746890 |
Mailing Fax Number | 5155746458 |
Enumeration Date | 2011-12-16 |
Last Update Date | 2013-05-13 |
Authorized Official Name | MICHAEL J. DEWERFF (CFO) |
Authorized Official Telephone | 5155746603 |
Is Organization Subpart | Y |
Parent Organization Name | TRIMARK PHYSICIANS GROUP |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 261QR1300X |
Clinic/Center Specialization: Rural Health |
Ambulatory Health Care Facilities |
Other Name | Type Code |
---|---|
UnityPoint Clinic | Doing Business As Name - Organization |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1790161255 | Trimark Physicians Group | Clinic/Center | 1303 11th Ave, Manson, IA 50563-5065 | 2015-08-07 |
1770991853 | Trimark Physicians Group | Clinic/Center | 1428 2nd Ave N, Fort Dodge, IA 50501-4119 | 2014-08-01 |
1033527114 | Trimark Physicians Group | Clinic/Center | 804 Kenyon Rd, Ste D, Fort Dodge, IA 50501-5744 | 2014-08-01 |
1861800948 | Trimark Physicians Group | Clinic/Center | 800 Kenyon Rd, Ste S, Fort Dodge, IA 50501-5776 | 2014-08-01 |
1053754663 | Trimark Physicians Group | Durable Medical Equipment & Medical Supplies | 1525 W 5th St, Storm Lake, IA 50588-3027 | 2013-04-12 |
1265701783 | Trimark Physicians Group | Clinic/Center | 625 L St, Fort Dodge, IA 50501-5706 | 2011-12-29 |
1821367301 | Trimark Physicians Group | Radiology | 802 Kenyon Rd, Fort Dodge, IA 50501-5740 | 2011-12-29 |
1013286673 | Trimark Physicians Group | Clinical Medical Laboratory | 800 Kenyon Rd, Suite P, Fort Dodge, IA 50501-5776 | 2011-12-27 |
1790054971 | Trimark Physicians Group | Durable Medical Equipment & Medical Supplies | 804 Kenyon Rd, Ste 310, Fort Dodge, IA 50501-5746 | 2011-12-18 |
1346519527 | Trimark Physicians Group | Clinic/Center | 307 Highway 10, Laurens, IA 50554-1307 | 2011-12-18 |
Entity Type | Entity Name | Entity Address |
---|---|---|
Iowa Business Entities | TRIMARK PHYSICIANS GROUP | 802 Kenyon Rd, Fort Dodge, IA 50501 |
Street Address |
115 S PARK AVE |
City | EAGLE GROVE |
State | IA |
Zip Code | 50533-2219 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1689650764 | Trimark Physicians Group Inc | Clinic/Center | 115 S Park Ave, Eagle Grove, IA 50533-2219 | 2005-12-20 |
1407474133 | Erika Lea Harwood | Nurse Practitioner | 115 S Park Ave, Eagle Grove, IA 50533-2219 | 2020-07-09 |
1609394345 | Trinity Regional Medical Center | Clinic/Center | 115 S Park Ave, Eagle Grove, IA 50533-2219 | 2017-09-01 |
1477007755 | Iowa Physicians Clinic Medical Foundation | Clinic/Center | 115 S Park Ave, Eagle Grove, IA 50533-2219 | 2016-08-04 |
1356702211 | North Central Iowa Mental Health Center Inc | Clinic/Center | 115 S Park Ave, Eagle Grove, IA 50533-2219 | 2016-03-18 |
1124139761 | Charity A Hayes | Nurse Practitioner | 115 S Park Ave, Eagle Grove, IA 50533-2219 | 2006-08-31 |
1134191018 | Dustin R Smith | Family Medicine | 115 S Park Ave, Eagle Grove, IA 50533-2219 | 2006-02-03 |
1114998572 | Mark P Magennis | Physician Assistant | 115 S Park Ave, Eagle Grove, IA 50533-2219 | 2006-02-01 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1205975950 | Janet E B Bade | Pharmacist | 311 West Broadway, Eagle Grove, IA 50533 | 2007-02-06 |
1548727001 | Sarah Lentz | Specialist/Technologist | 613 Nw 2nd St, Eagle Grove, IA 50533-1003 | 2019-02-20 |
1275674632 | James David Varland | Counselor | 718 Nw 2nd St, Eagle Grove, IA 50533-1005 | 2007-02-09 |
1982805883 | Jill Coleman | Counselor | 321 Nw 3rd St, Eagle Grove, IA 50533-1308 | 2007-05-29 |
1073913190 | Coleman Counseling, Inc. | Community/Behavioral Health | 321 Nw 3rd St, Eagle Grove, IA 50533-1308 | 2014-08-26 |
1922298660 | Eagle Grove Community School District | Local Education Agency (LEA) | 325 N Commercial Ave, Eagle Grove, IA 50533-1316 | 2007-07-30 |
1982087524 | Jordan Michael Moffitt | Dentist | 422 West Broadway, Eagle Grove, IA 50533-1704 | 2015-07-01 |
1225052343 | Michael W Moffitt | Dentist | 422 W Broadway St, Eagle Grove, IA 50533-1704 | 2006-07-26 |
1205093903 | Moffitt Dental Center | Clinic/Center | 422 W Broadway St, Eagle Grove, IA 50533-1704 | 2008-05-20 |
1821584830 | Andrew J Wagner | Pharmacist | 311 W Broadway St, Eagle Grove, IA 50533-1711 | 2018-07-03 |
Find all providers in zip 50533 |
Taxonomy Code | 261QR1300X |
Grouping | Ambulatory Health Care Facilities |
Classification | Clinic/Center |
Specialization | Rural Health |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1689650764 | Trimark Physicians Group Inc | Clinic/Center | 115 S Park Ave, Eagle Grove, IA 50533-2219 | 2005-12-20 |
1609394345 | Trinity Regional Medical Center | Clinic/Center | 115 S Park Ave, Eagle Grove, IA 50533-2219 | 2017-09-01 |
1477007755 | Iowa Physicians Clinic Medical Foundation | Clinic/Center | 115 S Park Ave, Eagle Grove, IA 50533-2219 | 2016-08-04 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1881294536 | Jefferson County Hospital | Clinic/Center | 107 W Harrison St, Richland, IA 52585-9549 | 2020-10-30 |
1255930178 | Humboldt County Memorial Hospital | Clinic/Center | 1000 15th St N Ste C, Humboldt, IA 50548-1008 | 2020-10-21 |
1104440809 | Regional Health Services of Howard County | Clinic/Center | 600 Busti Ave, Elma, IA 50628-8090 | 2020-05-29 |
1255977740 | Unitypoint Health - Marshalltown | Clinic/Center | 101 E J Ave Ste 120, Grundy Center, IA 50638-2006 | 2019-11-20 |
1326690082 | Unity Healthcare | Clinic/Center | 1518 Mulberry Ave Ste 201, Muscatine, IA 52761-3433 | 2019-07-12 |
1457825192 | Greene County Medical Center | Clinic/Center | 1000 W Lincoln Way Ste 100, Jefferson, IA 50129-1645 | 2019-01-16 |
1427548148 | Iowa Physicians Clinic Medical Foundation | Clinic/Center | 1518 Mulberry Ave Ste 202, Muscatine, IA 52761-3433 | 2018-05-17 |
1194215269 | Iowa Physicians Clinic Medical Foundation | Clinic/Center | 3426 N Port Dr Ste 200, Muscatine, IA 52761 | 2018-05-15 |
1659872927 | Henry County Soldiers' and Sailors' Memorial Hospital | Clinic/Center | 227 W Main St Ste 1, Wayland, IA 52654-7615 | 2018-02-22 |
1447778170 | Trinity Regional Medical Center | Clinic/Center | 804 Kenyon Rd Ste D, Fort Dodge, IA 50501-5744 | 2017-09-01 |
Find all providers with the same taxonomy |
City | EAGLE GROVE |
Zip Code | 50533 |
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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.