NPI Code Details Logo

NPI 1518639756

NPI 1518639756 : YOUR TIME MEDICAL LLC : IOWA FALLS, IA

=====================================================
General NPI Number Information
=====================================================
    NPI Number           |    1518639756
-----------------------------------------------------
    Entity Type          |    Organization 
-----------------------------------------------------
    Legal Business Name  |    YOUR TIME MEDICAL LLC 
-----------------------------------------------------

=====================================================
Dates
=====================================================
    Enumeration Date     |    10/05/2021
-----------------------------------------------------
    Last Update Date     |    12/12/2025
-----------------------------------------------------

=====================================================
Provider Practice Location Address
=====================================================
    Address Line         |    813 WASHINGTON AVE 
-----------------------------------------------------
    City                 |    IOWA FALLS
-----------------------------------------------------
    State                |    IA
-----------------------------------------------------
    Zip                  |    50126-2116
-----------------------------------------------------
    Country              |    US
-----------------------------------------------------
    Telephone            |    641-316-1112
-----------------------------------------------------
    Fax                  |    641-206-0429
-----------------------------------------------------

=====================================================
Provider Business Mailing Address
=====================================================
    Address Line         |    813 WASHINGTON AVE 
-----------------------------------------------------
    City                 |    IOWA FALLS
-----------------------------------------------------
    State                |    IA
-----------------------------------------------------
    Zip                  |    50126-2116
-----------------------------------------------------
    Country              |    US
-----------------------------------------------------
    Telephone            |    641-316-1112
-----------------------------------------------------
    Fax                  |    641-206-0429
-----------------------------------------------------

=====================================================
Authorized Official
=====================================================
    Title or Position    |    OWNER
-----------------------------------------------------
    Name                 |     MELISSA MICHELLE RACHUY 
-----------------------------------------------------
    Credential           |    ARNP
-----------------------------------------------------
    Telephone            |    641-316-1112
-----------------------------------------------------

=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
    Taxonomy Code        |    261QP2300X
-----------------------------------------------------
    Taxonomy Name        |    Primary Care Clinic/Center
-----------------------------------------------------
    License Number       |    
-----------------------------------------------------
    License Number State |    
-----------------------------------------------------
Taxonomy #2
-----------------------------------------------------
    Taxonomy Code        |    261QU0200X
-----------------------------------------------------
    Taxonomy Name        |    Urgent Care Clinic/Center
-----------------------------------------------------
    License Number       |    
-----------------------------------------------------
    License Number State |    
-----------------------------------------------------



                        

Copyright © 2007-2025 Data Labs Health. All rights reserved.