Jerry Rabiner Memorial Boys' Ranch – Emotionally Disturbed Childrens' Residential Treatment Facility, NPI 1104973148

Jerry Rabiner Memorial Boys' Ranch is a healthcare provider. based in Fort dodge, Iowa. specializing in Emotionally Disturbed Childrens' Residential Treatment Facility. The NPI Number for Jerry Rabiner Memorial Boys' Ranch is 1104973148

Main info

Organization
Name
Jerry Rabiner Memorial Boys' Ranch
NPI
1104973148
Phone
(515) 576-7388
Address
1762 JOHNSON AVE
Authorized Official
MS. DAUN RAE KEEFE DIRECTOR OF CLINICAL SERVICES LISW
Enumeration Date
4 January 2007
Last Update Date
25 February 2014
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience43
Completeness80
Years active:19State licenses:0Digital endpointsUpdated within 12 months

Provider Addresses for Jerry Rabiner Memorial Boys' Ranch

  • 1762 JOHNSON AVE

    FORT DODGE, IA 505018408

    Phone: (515) 576-7388

    Fax: (515) 576-2239

    Mailing address matches the actual address.

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

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Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

No Medicare enrollment or revalidation data available for this provider in our database.

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Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 50501)

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Reviews

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Frequently asked questions

How is Jerry Rabiner Memorial Boys' Ranch identified in CMS data?
CMS-hosted NPPES data lists Jerry Rabiner Memorial Boys' Ranch with NPI 1104973148.
Is Jerry Rabiner Memorial Boys' Ranch listed as active for patients and plans?
The listing shows Jerry Rabiner Memorial Boys' Ranch as active in the NPI system.
What healthcare role does Jerry Rabiner Memorial Boys' Ranch hold?
Scheduling teams often label Jerry Rabiner Memorial Boys' Ranch under Emotionally Disturbed Childrens' Residential Treatment Facility. Clinical services aligned with this taxonomy classification.
What area does Jerry Rabiner Memorial Boys' Ranch serve?
Jerry Rabiner Memorial Boys' Ranch's listing highlights Fort Dodge, Iowa; more addresses can appear in NPPES.
Is the information about Jerry Rabiner Memorial Boys' Ranch up to date?
Data updates when providers file changes in NPPES — treat critical facts as "verify if unsure."

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