PELLA REGIONAL HEALTH CENTER (NPI# 1053924449) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1053924449 |
Entity Type | Organization |
Organization Name | PELLA REGIONAL HEALTH CENTER |
Practice Address |
404 S Commerce Prairie City IA 50228-8560 |
Mailing Address |
404 Jefferson St Pella IA 50219-1257 |
Practice Telephone | 6416286623 |
Practice Fax Number | 6416212223 |
Mailing Telephone | 6416212347 |
Mailing Fax Number | 6416287241 |
Enumeration Date | 2020-08-26 |
Last Update Date | 2020-08-26 |
Authorized Official Name | ROBERT D. KROESE (CEO) |
Authorized Official Telephone | 6416286604 |
Is Organization Subpart | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 261QR0400X |
Clinic/Center Specialization: Rehabilitation |
Ambulatory Health Care Facilities |
Other Name | Type Code |
---|---|
Prairie City Therapy Agency | Doing Business As Name - Organization |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1952773921 | Pella Regional Health Center | Clinic/Center | 611 N Hancock St, Ottumwa, IA 52501-4233 | 2015-10-29 |
1619030988 | Pella Regional Health Center | Residential Treatment Facility, Physical Disabilities | 408 Jefferson St, Pella, IA 50219-1257 | 2006-12-18 |
1447294608 | Pella Regional Health Center | Clinic/Center | 100 East Sherman Street, Monroe, IA 50170 | 2006-06-16 |
1104860808 | Pella Regional Health Center | Clinic/Center | 704 3rd St, Sully, IA 50251-1016 | 2006-06-15 |
1245712942 | Pella Regional Health Center | Family Medicine | 100 E Jefferson St, Prairie City, IA 50228-7709 | 2018-08-30 |
1154709327 | Pella Regional Health Center | Clinical Medical Laboratory | 404 Jefferson St, Pella, IA 50219-1257 | 2015-05-08 |
1932599404 | Pella Regional Health Center | Pharmacy | 802 Washington St, Pella, IA 50219-1525 | 2015-02-04 |
1851722128 | Pella Regional Health Center | Family Medicine | 1210 E Vermeer Rd, Pella, IA 50219-7660 | 2013-12-11 |
1508101221 | Pella Regional Health Center | Clinic/Center | 920 N Quincy Ave, Ottumwa, IA 52501-3866 | 2012-12-06 |
1386794634 | Pella Regional Health Center | Non-Pharmacy Dispensing Site | 404 Jefferson St, Pella, IA 50219-1257 | 2007-01-11 |
Entity Type | Entity Name | Entity Address |
---|---|---|
System for Award Management (SAM) Entities | PELLA REGIONAL HEALTH CENTER | 404 Jefferson St, Pella, IA 50219-1257 |
Street Address |
404 S COMMERCE |
City | PRAIRIE CITY |
State | IA |
Zip Code | 50228-8560 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1245613108 | Marvin Fangman | Counselor | 501 North Sherman, Prairie City, IA 50228 | 2015-07-09 |
1821497538 | Dana Marie Jacobs | Nurse Practitioner | 102 W. Mcmurray Street, Prairie City, IA 50228 | 2014-08-19 |
1124015037 | Gregory L. Ingle, D.o., P.c | Family Medicine | 100 E Jefferson St., Prairie City, IA 50228 | 2005-10-05 |
1639263247 | Charles G Ingle | Counselor | 100 E. Jefferson, Prairie City, IA 50228 | 2006-10-03 |
1952382384 | Heidi Lee Wintermote | Family Medicine | 100 E. Jefferson, Prairie City, IA 50228-0430 | 2005-11-11 |
1316934227 | Gregory Lee Ingle | Family Medicine | 100 E. Jefferson St., Prairie City, IA 50228-0430 | 2005-10-05 |
1497802979 | Pcm Community School District | Local Education Agency (LEA) | 107 East St., Prairie City, IA 50228-0490 | 2007-01-05 |
1003887316 | City of Prairie City | Ambulance | 203 E. Jefferson St., Prairie City, IA 50228-0607 | 2006-01-27 |
1245712942 | Pella Regional Health Center | Family Medicine | 100 E Jefferson St, Prairie City, IA 50228-7709 | 2018-08-30 |
1417469487 | Jamie L Steenhoek | Nurse Practitioner | 100 E Jefferson St, Prairie City, IA 50228-7709 | 2017-10-31 |
Find all providers in zip 50228 |
Taxonomy Code | 261QR0400X |
Grouping | Ambulatory Health Care Facilities |
Classification | Clinic/Center |
Specialization | Rehabilitation |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1285233064 | Physiotherapy Associates, Inc. | Clinic/Center | 998 Westdale Parkway, Cedar Rapids, IA 52404 | 2020-10-22 |
1730702275 | Physiotherapy Associates, Inc. | Clinic/Center | 87 Paine St Se Ste 1&2, Bondurant, IA 50035-1451 | 2020-05-19 |
1821617069 | Physiotherapy Assoicates, Inc. | Clinic/Center | 319 7th St Ste 102, Des Moines, IA 50309-3812 | 2020-04-08 |
1194354795 | Physiotherapy Assoicates, Inc. | Clinic/Center | 87 Paine St Se, Bondurant, IA 50035-1451 | 2020-04-06 |
1245892629 | On With Life, Inc | Clinic/Center | 2854 Coral Court, Suite 1, Coralville, IA 52241 | 2019-07-05 |
1982265559 | Physiotherapy Associates, Inc. | Clinic/Center | 516 Nile Kinnick Dr S Ste B, Adel, IA 50003-2076 | 2019-06-25 |
1548820145 | Physiotherapy Associates, Inc. | Clinic/Center | 1327 Sunset Dr # 400, Norwalk, IA 50211-1343 | 2019-06-17 |
1952822801 | Physiotherapy Assoicates, Inc. | Clinic/Center | 9500 University Ave Ste 1115, West Des Moines, IA 50266-1745 | 2017-06-30 |
1659746766 | Physiotherapy Associates Inc | Clinic/Center | 3111 Gordon Dr, Sioux City, IA 51105-3730 | 2015-12-01 |
1952773921 | Pella Regional Health Center | Clinic/Center | 611 N Hancock St, Ottumwa, IA 52501-4233 | 2015-10-29 |
Find all providers with the same taxonomy |
City | PRAIRIE CITY |
Zip Code | 50228 |
Please comment or provide details below to improve the information on PELLA REGIONAL HEALTH CENTER.
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.