Provider Demographics
NPI:1932241387
Name:NEW FOCUS INC.
Entity Type:Organization
Organization Name:NEW FOCUS INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:EXECUTIVE DIRECTOR
Authorized Official - Prefix:
Authorized Official - First Name:PEGGY
Authorized Official - Middle Name:
Authorized Official - Last Name:ODEN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:641-437-1722
Mailing Address - Street 1:PO BOX 364
Mailing Address - Street 2:102 W. WASHINGTON
Mailing Address - City:CENTERVILLE
Mailing Address - State:IA
Mailing Address - Zip Code:52544-0364
Mailing Address - Country:US
Mailing Address - Phone:641-437-1722
Mailing Address - Fax:641-437-1028
Practice Address - Street 1:102 W WASHINGTON ST
Practice Address - Street 2:
Practice Address - City:CENTERVILLE
Practice Address - State:IA
Practice Address - Zip Code:52544-1550
Practice Address - Country:US
Practice Address - Phone:641-437-1722
Practice Address - Fax:641-437-1028
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-02-13
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QM0801XAmbulatory Health Care FacilitiesClinic/CenterMental Health (Including Community Mental Health Center)
Provider Identifiers
StateIdentifier IDID TypeIssuer
IA0233726Medicaid
IA0119388Medicaid