TACOMBINE LLC (NPI# 1922528173) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1922528173 |
| Entity Type | Organization |
| Organization Name | TACOMBINE LLC |
| Other Organization Name | TACOMBINELLC |
| Practice Address |
215 H St Fort Dodge IA 50501-4501 |
| Practice Telephone | 5155717629 |
| Mailing Telephone | 5155717629 |
| Enumeration Date | 2017-06-20 |
| Last Update Date | 2019-10-23 |
| Authorized Official Name | LESLIE J FANNING (OWNER) |
| Authorized Official Telephone | 5155717629 |
| Is Organization Subpart | Y |
| Parent Organization Name | TACOMBINE LLC |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 171W00000X | Contractor | 034CC1132 | IA | Other Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| IA | 480176313 | 05 | |
| IA | 812129105 | 05 |
| Other Name | Type Code |
|---|---|
| TACOMBINELLC | Doing Business As Name - Organization |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 1426 5th Ave. N., Fort Dodge, IA 50501 | 5152694974 | |
| 215 H St, Fort Dodge, IA 505014501 | 5155717629 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| Iowa Business Entities | TACOMBINE LLC | 1338 3rd Ave Nw, Fortdodge, IA 50501 |
| Street Address |
215 H ST |
| City | FORT DODGE |
| State | IA |
| Zip Code | 50501-4501 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1023523412 | Katelin Judith Hartmann | Nurse Practitioner | 2913 5th Ave S, Fort Dodge, IA 50501 | 2017-12-06 |
| 1619338365 | John Clay Dds, Plc | Dentist | 1905 North 15th Street, Fort Dodge, IA 50501 | 2016-03-09 |
| 1710350517 | Alexandria Doyle | Nurse Practitioner | 800 Kenyon Road, Fort Dodge, IA 50501 | 2015-11-03 |
| 1366859993 | Heather Maureen Stillman Anderson | Dentist | 126 North 10th Street, Fort Dodge, IA 50501 | 2014-07-15 |
| 1205261575 | Iowa Cvs Pharmacy LLC | Durable Medical Equipment & Medical Supplies | 2029 5th Ave. South, Fort Dodge, IA 50501 | 2013-09-05 |
| 1952693020 | Riley Armstrong Plg & Htg, Inc | Contractor | 11 No. 20th St, Fort Dodge, IA 50501 | 2011-05-09 |
| 1407001639 | Marta Karyn Kramer | Pharmacist | 1428 2nd Ave No., Fort Dodge, IA 50501 | 2008-12-02 |
| 1427251305 | Andrew Bryant Sonksen | Dentist | 1716 1st Ave South, Fort Dodge, IA 50501 | 2007-06-07 |
| 1720127475 | John H Garton | Dentist | 1210 3rd Avenue South, Fort Dodge, IA 50501 | 2007-02-06 |
| 1912043746 | Aaron Mobley | Chiropractor | 1234 Central Ave, Fort Dodge, IA 50501 | 2007-01-29 |
| Find all providers in zip 50501 | ||||
| Taxonomy Code | 171W00000X |
| Grouping | Other Service Providers |
| Classification | Contractor |
| A person who contracts to supply certain materials or do certain work for a stipulated sum; esp., one whose business is contracting work in any of the building trades. For purposes of the taxonomy, a person who contracts to complete home repairs or modifications to accommodate a health condition (e.g. wheelchair ramp, kitchen counter lowering). |
| Notes: Source: Websters New World Dictionary of the American Language, Second College Edition, William Collins + World Publishing Co., Inc., New York: 1974, p. 308 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1306464797 | Jill Patricia June | Contractor | 2546 Nw 84th Ave, Ankeny, IA 50023-9443 | 2020-07-11 |
| 1225570294 | Francis Connelly | Contractor | 1050 15th St Sw, Suite #2, Mason City, IA 50401-5677 | 2016-11-08 |
| 1881054690 | Melissa Iehl | Contractor | 211 Elm St, Lakeside, IA 50588-7737 | 2016-03-07 |
| 1033515408 | Ashley Sconzo | Contractor | 1695 N Jones Blvd Apt 2, North Liberty, IA 52317 | 2014-11-13 |
| 1750724258 | Laura Fehr | Contractor | 3916 W Rusholme St, Davenport, IA 52804-1012 | 2013-04-15 |
| 1740533231 | Dustin Joseph Demarest | Contractor | 1306 Wisconsin Cir, Ames, IA 50014-3974 | 2012-10-21 |
| 1285913335 | Burlington Urgent Care Inc. | Contractor | 2700 Mt. Pleasant Street, Ste 32b, Burlington, IA 52601 | 2011-08-08 |
| 1922328004 | Antyonae Marie Mcclain | Contractor | 1161 14th Pl # 2, Des Moines, IA 50314-1231 | 2010-06-11 |
| 1881914042 | Lillie Ward | Contractor | 1161 14th Pl, Des Moines, IA 50314-1231 | 2010-06-10 |
| 1275795437 | Karen L Quigley | Contractor | 503 S Linn Ave, New Hampton, IA 50659 | 2008-06-30 |
| Find all providers with the same taxonomy | ||||
| City | FORT DODGE |
| Zip Code | 50501 |
Please comment or provide details below to improve the information on TACOMBINE LLC.
| 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.