PELLA REGIONAL HEALTH CENTER


Address: 404 S Commerce, Prairie City, IA 50228-8560
Phone: 6416286623

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).

Provider Overview

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

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 261QR0400X Clinic/Center
Specialization: Rehabilitation
Ambulatory Health Care Facilities

Other Provider/Organization Names

Other Name Type Code
Prairie City Therapy Agency Doing Business As Name - Organization

Other Provider IDs and Locations

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

Other Data Sources

Entity Type Entity Name Entity Address
System for Award Management (SAM) Entities PELLA REGIONAL HEALTH CENTER 404 Jefferson St, Pella, IA 50219-1257

Office Location

Street Address 404 S COMMERCE
City PRAIRIE CITY
State IA
Zip Code 50228-8560

Providers in the same zip code

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 Information

Taxonomy Code 261QR0400X
Grouping Ambulatory Health Care Facilities
Classification Clinic/Center
Specialization Rehabilitation

Taxonomy Definition

Definition to come...

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NPI Name Taxonomy Address Enumeration
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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

Competitor

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City PRAIRIE CITY
Zip Code 50228

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Dataset Information

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.

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