STEWART MEMORIAL COMMUNITY HOSPITAL (NPI# 1013058924) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1013058924 |
| Entity Type | Organization |
| Organization Name | STEWART MEMORIAL COMMUNITY HOSPITAL |
| Other Organization Name | MCCRARY-ROST CLINIC |
| Practice Address |
1301 W Main St Lake City IA 51449-1585 |
| Mailing Address |
Po Box 114 Lake City IA 51449-0114 |
| Practice Telephone | 7124643171 |
| Practice Fax Number | 7124643269 |
| Mailing Telephone | 7124643171 |
| Mailing Fax Number | 7124643269 |
| Enumeration Date | 2007-02-12 |
| Last Update Date | 2014-11-11 |
| Authorized Official Name | JAMES L HENKENIUS (CFO) |
| Authorized Official Telephone | 7124644200 |
| Is Organization Subpart | Y |
| Parent Organization Name | STEWART MEMORIAL COMMUNITY HOSPITAL |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 363L00000X | Nurse Practitioner | IA | Physician Assistants & Advanced Practice Nursing Providers | |
| N | 208600000X | Surgery | IA | Allopathic & Osteopathic Physicians | |
| N | 363A00000X | Physician Assistant | IA | Physician Assistants & Advanced Practice Nursing Providers | |
| Y | 207Q00000X | Family Medicine | IA | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| IA | 0007880 | 05 |
| Other Name | Type Code |
|---|---|
| McCrary-Rost Clinic | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1518943083 | Stewart Memorial Community Hospital | Pharmacy | 1321 W Main St, Lake City, IA 51449-1585 | 2005-12-16 |
| 1184609927 | Stewart Memorial Community Hospital | Pharmacy | 507 E Lake St, Rockwell City, IA 50579-1711 | 2005-12-14 |
| 1063497188 | Stewart Memorial Community Hospital | General Acute Care Hospital | 1301 W Main St, Lake City, IA 51449-1585 | 2005-12-12 |
| 1316240104 | Stewart Memorial Community Hospital | Social Worker | 505 E Lake St, Rockwell City, IA 50579-1711 | 2010-12-16 |
| 1164617619 | Stewart Memorial Community Hospital | Nurse Practitioner | 24 S Main St, Dayton, IA 50530-7698 | 2007-09-07 |
| 1215155080 | Stewart Memorial Community Hospital | Clinic/Center | 1351 W Main St, Lake City, IA 51449-1585 | 2007-04-24 |
| 1396887394 | Stewart Memorial Community Hospital | General Acute Care Hospital | 1301 W Main St, Lake City, IA 51449-1585 | 2007-02-13 |
| 1740321652 | Stewart Memorial Community Hospital | Nurse Practitioner | 1301 W Main St, Lake City, IA 51449-1585 | 2007-02-12 |
| 1659412567 | Stewart Memorial Community Hospital | Durable Medical Equipment & Medical Supplies | 1301 W Main St, Lake City, IA 51449-1585 | 2007-02-12 |
| 1831230747 | Stewart Memorial Community Hospital | Dietitian, Registered | 1301 W Main St, Lake City, IA 51449-1585 | 2007-02-12 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| System for Award Management (SAM) Entities | STEWART MEMORIAL COMMUNITY HOSPITAL | 1301 West Main St, Lake City, IA 51449-1585 |
| Street Address |
1301 W MAIN ST |
| City | LAKE CITY |
| State | IA |
| Zip Code | 51449-1585 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1063497188 | Stewart Memorial Community Hospital | General Acute Care Hospital | 1301 W Main St, Lake City, IA 51449-1585 | 2005-12-12 |
| 1518567056 | Katie Mogensen | Registered Nurse | 1301 W Main St, Lake City, IA 51449-1585 | 2020-10-26 |
| 1427607795 | Marie A Drey | Occupational Therapist | 1301 W Main St, Lake City, IA 51449-1585 | 2019-09-09 |
| 1811546104 | Courtney L Bostwick | Speech-Language Pathologist | 1301 W Main St, Lake City, IA 51449-1585 | 2019-09-09 |
| 1871142158 | Lisa A Poppen-findley | Occupational Therapist | 1301 W Main St, Lake City, IA 51449-1585 | 2019-09-09 |
| 1154979557 | Branden M Roberts | Physical Medicine & Rehabilitation | 1301 W Main St, Lake City, IA 51449-1585 | 2019-08-28 |
| 1033677729 | Luke A Larson | Physical Therapist | 1301 W Main St, Lake City, IA 51449-1585 | 2019-03-12 |
| 1306377296 | Megan M Huster | Registered Nurse | 1301 W Main St, Lake City, IA 51449-1585 | 2017-03-23 |
| 1215477211 | Northland Hearing Centers, Inc | Hearing Aid Equipment | 1301 W Main St, Lake City, IA 51449-1585 | 2017-02-24 |
| 1811384050 | Martha Huser | Pharmacist | 1301 W Main St, Lake City, IA 51449-1585 | 2015-04-24 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1184719767 | Harris Drug, Inc. | Pharmacy | 121 East Main St., Lake City, IA 51449 | 2006-10-03 |
| 1427168749 | David Joseph Verbik | Dentist | 1331 West Main Street, Lake City, IA 51449 | 2006-08-30 |
| 1760921951 | Jeremie Lee Kent | Driver | 1115 W Main St, Lake City, IA 51449 | 2017-02-21 |
| 1811025984 | Cynthia Joan Grear | Pharmacist | 121 W. Main Street, Lake City, IA 51449 | 2007-03-01 |
| 1669521027 | Rock Vision Clinic PC | Optometrist | 1341 W Main St, Lake City, IA 51449-0124 | 2007-01-08 |
| 1770634677 | Craig Steven Rock | Optometrist | 1341 W Main St, Lake City, IA 51449-0124 | 2007-01-16 |
| 1285784280 | Jonathan Paul Judisch | Optometrist | 1341 W Main St, Lake City, IA 51449-0124 | 2007-01-11 |
| 1912141946 | Charles Smith Loeck | Dentist | 1100 N Douglas St, Lake City, IA 51449-1111 | 2009-04-21 |
| 1932357944 | Southern Cal Community School District | Local Education Agency (LEA) | 709 W Main St, Lake City, IA 51449-1500 | 2008-09-03 |
| 1255601811 | Cesar A. Cardenas | Surgery | 1400 W Main St, Lake City, IA 51449-1577 | 2012-01-12 |
| Find all providers in zip 51449 | ||||
| Taxonomy Code | 207Q00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Family Medicine |
| Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. |
| Notes: Source: American Board of Family Medicine [1/1/2007: changed title; 7/1/2007: added definition, added source; 7/1/2017: modified definition] - Note: The American Osteopathic Board of Family Physicians certification includes extensive use of Osteopathic Manipulative Treatment (OMT), which integrates the biological, clinical, and behavioral sciences. - Additional Resources: American Board of Family Medicine, www.theabfm.org. American Osteopathic Board of Family Physicians, www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Family Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Family Physicians or the American Board of Family Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1538655766 | Silver Thread Public Health District | Family Medicine | 304 W. 3rd St, Lake City, CO 81235-0277 | 2018-07-11 |
| 1467814582 | Osayamen O Omoruyi | Family Medicine | 4784 W Us Highway 90, Lake City, FL 32055-3101 | 2016-03-28 |
| 1255698619 | Osayande Stephen Izeiyamu | Family Medicine | 194 Sw Wall Ter, Lake City, FL 32025-5086 | 2012-04-23 |
| 1811206923 | Riverside Medical Clinic | Family Medicine | 803 Hwy 18, Lake City, AR 72347-0505 | 2010-10-07 |
| 1508181272 | Dynamic Health Centers | Family Medicine | 163 Sw Stonegate Ter Ste 109, Lake City, FL 32024-3459 | 2010-04-06 |
| 1659506699 | Live Oak Medical Center, Pa | Family Medicine | 148 Sauls St., Lake City, SC 29560 | 2009-05-20 |
| 1871776732 | Javier D Amador | Family Medicine | 484 Sw Commerce Dr Ste 140, Lake City, FL 32025-1588 | 2007-12-13 |
| 1699838003 | Peter Wendell Giebeig Jr. | Family Medicine | 5085 West Us Hwy 90, Lake City, FL 32055 | 2006-12-18 |
| 1568544054 | Miguel Jose Tepedino | Family Medicine | 1717 Sw Newland Way, Lake City, FL 32025-6966 | 2006-10-20 |
| 1801992599 | Morris E Brown IIi | Family Medicine | 901 N. Matthews Road, Lake City, SC 29560-7024 | 2006-09-16 |
| Find all providers in LAKE CITY | ||||
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| 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.