VETERANS MEMORIAL HOSPITAL (NPI# 1104352327) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1104352327 |
Entity Type | Organization |
Organization Name | VETERANS MEMORIAL HOSPITAL |
Other Organization Name | MONONA CLINIC |
Practice Address |
40 1st St Se Waukon IA 52172-2022 |
Practice Telephone | 5635683411 |
Practice Fax Number | 5635685699 |
Mailing Telephone | 5635683411 |
Mailing Fax Number | 5635685699 |
Enumeration Date | 2017-05-08 |
Last Update Date | 2017-05-08 |
Authorized Official Name | JOYCE R SCHORG (DIRECTOR OF FINANCIAL SERVICES) |
Authorized Official Telephone | 5635683411 |
Is Organization Subpart | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 261Q00000X | Clinic/Center | 030412H | IA | Ambulatory Health Care Facilities |
Other Name | Type Code |
---|---|
Monona Clinic | Doing Business As Name - Organization |
Entity Type | Entity Name | Entity Address |
---|---|---|
Ohio Business Entities | VETERANS MEMORIAL HOSPITAL PHARMACY | 10960 Wilshire Blvd, Los Angeles, CA 90024 |
Street Address |
40 1ST ST SE |
City | WAUKON |
State | IA |
Zip Code | 52172-2022 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1720083363 | Jonathan L Hawes | Physician Assistant | 40 1st St Se, Waukon, IA 52172-2022 | 2005-06-20 |
1609489244 | Austin Troendle | Physical Therapist | 40 1st St Se, Waukon, IA 52172-2022 | 2020-08-24 |
1407401722 | Shelly Valley | Physical Therapy Assistant | 40 1st St Se, Waukon, IA 52172-2022 | 2019-08-04 |
1366920803 | Rebecca Booth | Physical Therapist | 40 1st St Se, Waukon, IA 52172-2022 | 2018-08-06 |
1275902322 | Veterans Memorial Hospital-community and Home Care | Nursing Care | 40 1st St Se, Waukon, IA 52172-2022 | 2015-09-18 |
1255763892 | Steven Breitenfield | Speech-Language Pathologist | 40 1st St Se, Waukon, IA 52172-2022 | 2013-08-06 |
1710319710 | Dana Wells | Physical Therapist | 40 1st St Se, Waukon, IA 52172-2022 | 2013-08-01 |
1134568561 | Tarynne Carlson | Occupational Therapist | 40 1st St Se, Waukon, IA 52172-2022 | 2013-06-19 |
1356786081 | Veterans Memorial Hospital-public Health | Public Health or Welfare | 40 1st St Se, Waukon, IA 52172-2022 | 2013-05-08 |
1720329097 | Megan Elizabeth Thompson | Dietitian, Registered | 40 1st St Se, Waukon, IA 52172-2022 | 2013-03-11 |
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NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1235468026 | Amy Christine Pfiffner | Occupational Therapy Assistant | 201 Second Street Sw, Waukon, IA 52172 | 2009-12-08 |
1609098185 | Worth Living Inc. | Assisted Living Facility | 209 2nd Ave Sw, Waukon, IA 52172 | 2007-05-03 |
1154478857 | Mosaic | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 12 E Main, Suite 102, Waukon, IA 52172 | 2007-01-04 |
1124121710 | Linda Sue Carstens | Dentist | 18 1st Ave Nw, Waukon, IA 52172 | 2006-09-07 |
1659481752 | Cameron Jon Ochsner | Dentist | 22 E Main, Wankon, IA 52172 | 2006-08-30 |
1831144302 | Gundersen Clinic, Ltd. | Durable Medical Equipment & Medical Supplies | 120 2nd Avenue Se, Waukon, IA 52172 | 2006-05-23 |
1720173990 | Northeast Iowa Dental Professional Corporation | Dentist | 18 1st Ave Nw, Waukon, IA 52172 | 2006-10-04 |
1265472807 | Gundersen Clinic, Ltd. | Optometrist | 120 2nd Avenue Se, Waukon, IA 52172 | 2006-06-08 |
1639156987 | Mayo Clinic Health System - Franciscan Medical Center, Inc. | Clinic/Center | 105 East Main Street, Waukon, IA 52172 | 2005-12-28 |
1770755928 | Rtg Medical | General Acute Care Hospital | 606 2nd St Nw, Waukon, IA 52172-1026 | 2008-03-27 |
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Taxonomy Code | 261Q00000X |
Grouping | Ambulatory Health Care Facilities |
Classification | Clinic/Center |
A facility or distinct part of one used for the diagnosis and treatment of outpatients. "Clinic/Center" is irregularly defined, sometimes being limited to organizations serving specialized treatment requirements or distinct patient/client groups (e.g., radiology, poor, and public health). |
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1811598659 | Walke Dentistry Pllc - Series 1 | Clinic/Center | 511 N Bluff St, Guttenberg, IA 52052-9465 | 2020-11-06 |
1598374712 | Michael Richard Anderson | Clinic/Center | 2560 Hubbell Ave, Des Moines, IA 50317-6102 | 2020-07-23 |
1659904803 | Ikc, LLC | Clinic/Center | 8736 Nw 27th Court, Ankeny, IA 50023 | 2020-02-17 |
1861039927 | New Horizon Mental Health & Wellness | Clinic/Center | 600 4th St Ste 202, Sioux City, IA 51101-1605 | 2019-12-06 |
1619512845 | Rebound Chiropractic and Sports Medicine, LLC | Clinic/Center | 1201 Sw State St., Suite 111, Ankeny, IA 50023-5002 | 2019-11-12 |
1558904417 | Lakes Regional Healthcare | Clinic/Center | 2408 Zenith Avenue, Suite E, Spirit Lake, IA 51360 | 2019-10-23 |
1063971166 | Developmental Wellness, LLC | Clinic/Center | 5500 240th St, Ames, IA 50014-9501 | 2019-03-18 |
1790251924 | Spencer Municipal Hospital | Clinic/Center | 116 E 11th St Ste 208, Spencer, IA 51301-4363 | 2018-10-15 |
1578054698 | Ideal Option, Pllc | Clinic/Center | 817 Tower Park Drive, Waterloo, IA 50701-9027 | 2018-05-24 |
1417448754 | Ideal Option, Pllc | Clinic/Center | 4125 Gordon Dr, Sioux City, IA 51106-1304 | 2018-05-22 |
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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.