Healthcare Provider Details

I. General information

NPI: 1629224886
Provider Name (Legal Business Name): IOWA VETERANS HOME
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/07/2008
Last Update Date: 05/21/2026
Certification Date: 05/21/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1301 SUMMIT ST
MARSHALLTOWN IA
50158-5485
US

IV. Provider business mailing address

1301 SUMMIT ST
MARSHALLTOWN IA
50158-5484
US

V. Phone/Fax

Practice location:
  • Phone: 641-752-1501
  • Fax:
Mailing address:
  • Phone: 641-752-1501
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207R00000X
TaxonomyInternal Medicine Physician
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code3336L0003X
TaxonomyLong Term Care Pharmacy
License Number
License Number StateIA

VIII. Authorized Official

Name: TODD JOCOBUS
Title or Position: COMMANDANT
Credential:
Phone: 641-750-9399