GREAT RIVER MEDICAL CENTER (NPI# 1134168263) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1134168263 |
| Entity Type | Organization |
| Organization Name | GREAT RIVER MEDICAL CENTER |
| Practice Address |
1221 S Gear Ave West Burlington IA 52655-1679 |
| Mailing Address |
1221 S Gear Ave Po Box 668 West Burlington IA 52655-1679 |
| Practice Telephone | 3197683622 |
| Practice Fax Number | 3197683633 |
| Mailing Telephone | 3197683622 |
| Mailing Fax Number | 3197683633 |
| Enumeration Date | 2006-06-05 |
| Last Update Date | 2019-02-08 |
| Authorized Official Name | MATTHEW WENZEL (CEO) |
| Authorized Official Telephone | 3197683622 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 282N00000X | General Acute Care Hospital | 290147H | IA | Hospitals |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 1315 W Agency Rd Ste 151, West Burlington, IA 526551654 | 3197683900 | |
| 1225 S Gear Ave Ste 152, West Burlington, IA 526551686 | 3197683434 | |
| 1401 W Agency Rd Ste 170, West Burlington, IA 526551659 | 3197684100 | |
| 1401 W Agency Rd Ste 171, West Burlington, IA 526551659 | 3197684100 | |
| 1401 W Agency Rd Ste 172, West Burlington, IA 526551659 | 3197684100 | |
| 220 Mulberry St Ste B, Wapello, IA 526531570 | 3197684090 | |
| 1201 W Agency Rd, West Burlington, IA 526551645 | 3191544242 | |
| 1225 S Gear Ave Ste 159, West Burlington, IA 526551686 | 3197681570 | |
| 1223 S Gear Ave Ste 109, West Burlington, IA 526551685 | 3197681820 | |
| 1223 S Gear Ave Ste 309, West Burlington, IA 526551694 | 3197684500 | |
| 1223 S Gear Ave Ste 205, West Burlington, IA 526551685 | 3197683200 | |
| 1225 S Gear Ave Ste 251, West Burlington, IA 526551688 | 3197683700 | |
| 1223 S Gear Ave Ste 101, West Burlington, IA 526551690 | 3197684380 | |
| 1401 W Agency Rd, West Burlington, IA 526551659 | 3197684970 | |
| 1223 S Gear Ave Ste 201, West Burlington, IA 526551685 | 3197681535 | |
| 1225 S Gear Ave Ste 254, West Burlington, IA 526551687 | 3197683240 | |
| 1223 S Gear Ave Ste 202, West Burlington, IA 526551685 | 3197684350 | |
| 1223 S Gear Ave Ste 303, West Burlington, IA 526551670 | 3197683925 | |
| 1223 S Gear Ave Ste 208, West Burlington, IA 526551693 | 3197682750 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1265411144 | Great River Medical Center | Nursing Facility/Intermediate Care Facility | 1307 S Gear Ave, West Burlington, IA 52655-1604 | 2006-01-10 |
| 1053315002 | Great River Medical Center | Hospice Care, Community Based | 1306 S Washington Rd, West Burlington, IA 52655-1703 | 2005-06-08 |
| 1811068646 | Great River Medical Center | General Acute Care Hospital | 1520 N Division St, Blytheville, AR 72315-1448 | 2006-11-13 |
| 1164433884 | Great River Medical Center | Emergency Medical Technician, Basic | 1221 S Gear Ave, West Burlington, IA 52655-1679 | 2006-08-10 |
| 1760461644 | Great River Medical Center | Home Health | 1306 S Washington Rd, West Burlington, IA 52655-1703 | 2006-01-10 |
| 1639158595 | Great River Medical Center | Rehabilitation Unit | 1221 S Gear Ave, West Burlington, IA 52655-1679 | 2006-01-10 |
| 1598744476 | Great River Medical Center | Home Delivered Meals | 1221 S Gear Ave, West Burlington, IA 52655-1679 | 2006-01-10 |
| 1386623262 | Great River Medical Center | Nursing Facility/Intermediate Care Facility | 1307 S Gear Ave, West Burlington, IA 52655-1604 | 2006-01-10 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| Iowa Business Entities | GREAT RIVER MEDICAL CENTER | 1221 S. Gear Ave, West Burlington, IA 52655 |
| Iowa Business Entities | GREAT RIVER MEDICAL CENTER STAFF FOUNDATION | 200 Jefferson Street, Burlington, IA 52601 |
| Street Address |
1221 S GEAR AVE |
| City | WEST BURLINGTON |
| State | IA |
| Zip Code | 52655-1679 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1013536820 | Sean R West | Physical Therapist | 1221 S Gear Ave, West Burlington, IA 52655-1679 | 2020-04-11 |
| 1316566268 | Debra Lynn Herrick | Speech-Language Pathologist | 1221 S Gear Ave, West Burlington, IA 52655-1679 | 2020-04-10 |
| 1356980031 | Justine Link | Nurse Practitioner | 1221 S Gear Ave, West Burlington, IA 52655-1679 | 2019-12-30 |
| 1841838638 | Julie Ann Snavely | Occupational Therapist | 1221 S Gear Ave, West Burlington, IA 52655-1679 | 2019-12-12 |
| 1033757828 | Jill Ann Nealey | Occupational Therapist | 1221 S Gear Ave, West Burlington, IA 52655-1679 | 2019-12-12 |
| 1861049454 | Jennifer L Hellman | Occupational Therapist | 1221 S Gear Ave, West Burlington, IA 52655-1679 | 2019-08-20 |
| 1659841690 | Andrew Robert Klein | Physician Assistant | 1221 S Gear Ave, West Burlington, IA 52655-1679 | 2018-12-03 |
| 1013498120 | Seth Olson | Physical Therapist | 1221 S Gear Ave, West Burlington, IA 52655-1679 | 2018-08-27 |
| 1447730882 | Carmen Johnson | Physical Therapist | 1221 S Gear Ave, West Burlington, IA 52655-1679 | 2018-08-15 |
| 1164918330 | Adam Mcmann | Registered Nurse | 1221 S Gear Ave, West Burlington, IA 52655 | 2018-07-10 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1679920045 | Breanne Vogel | Nurse Practitioner | 1225 South Gear Avenue, Suite 159, Great River Family Practice Clinic, West Burlington, IA 52655 | 2016-05-16 |
| 1639538010 | Kala Haisch | Nurse Practitioner | 1225 S. Gear Ave., Mercy Plaza, Suite 251, West Burlington, IA 52655 | 2016-02-15 |
| 1326305830 | Ryan Deets | Surgery | 1223 S Gear Ave Ste 202, West Burlington, IA 52655 | 2012-04-20 |
| 1912100173 | Jennifer Yancey | Dietitian, Registered | Great River Medical Center Center for Rehabilitation, 1401 W. Agency Rd., West Burlington, IA 52655 | 2007-06-06 |
| 1043348196 | Wilson Hearing Aids & Services Inc | Hearing Instrument Specialist | 313 E Agency Rd, West Burlington, IA 52655 | 2007-03-01 |
| 1730286204 | Eric A Hanks | Chiropractor | 433 E Mt Pleasant St, West Burlington, IA 52655 | 2006-09-19 |
| 1093825176 | Michael Steven Mathews | Dentist | 409 Layne Dr, West Burlington, IA 52655 | 2006-08-30 |
| 1952383259 | Craig Huston | Emergency Medical Technician, Basic | 1221d S Gear Ave, West Burlington, IA 52655 | 2005-11-14 |
| 1932101466 | Theron Jameson | Specialist | 1225 S Gear Ave, Ste 159, West Burlington, IA 52655 | 2005-08-15 |
| 1255339750 | Community Health Centers of Southeastern Iowa Inc | Internal Medicine | 1706 West Agency Road, West Burlington, IA 52655 | 2005-07-08 |
| Find all providers in zip 52655 | ||||
| Taxonomy Code | 282N00000X |
| Grouping | Hospitals |
| Classification | General Acute Care Hospital |
| An acute general hospital is an institution whose primary function is to provide inpatient diagnostic and therapeutic services for a variety of medical conditions, both surgical and non-surgical, to a wide population group. The hospital treats patients in an acute phase of illness or injury, characterized by a single episode or a fairly short duration, from which the patient returns to his or her normal or previous level of activity. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1326317538 | Pisipati LLC | General Acute Care Hospital | 550 33rd Ave N, Clinton, IA 52732-1585 | 2011-12-16 |
| 1982914172 | Mary Louise Gallegos | General Acute Care Hospital | 1205 W Us Highway 30, Suite A, Carroll, IA 51401-3364 | 2010-10-21 |
| 1538395975 | Catholic Health Initiatives - Iowa Corp | General Acute Care Hospital | 1755 59th Place, West Des Moines, IA 50266-7737 | 2009-05-29 |
| 1598905762 | Central Iowa Hospital Corporation | General Acute Care Hospital | 1660 60th St, West Des Moines, IA 50266-7700 | 2009-03-02 |
| 1043467269 | Cindy May Hannon | General Acute Care Hospital | 1848 W 7th St, Davenport, IA 52802-1029 | 2008-08-19 |
| 1437325107 | Keokuk Area Hospital | General Acute Care Hospital | 1600 Morgan Street, Keokuk, IA 52632-3456 | 2008-05-02 |
| 1770755928 | Rtg Medical | General Acute Care Hospital | 606 2nd St Nw, Waukon, IA 52172-1026 | 2008-03-27 |
| 1720126527 | James W Pollard Dds PC | General Acute Care Hospital | 1905 S Marshall St, Boone, IA 50036-5401 | 2007-02-02 |
| 1356352504 | Vamc | General Acute Care Hospital | 640 Black Bear Bend, North Liberty, IA 52317 | 2006-08-11 |
| 1942290432 | Skiff Hospital | General Acute Care Hospital | 5957 Highway F48 W, Newton, IA 50208-9053 | 2005-10-25 |
| Find all providers with the same taxonomy | ||||
| City | WEST BURLINGTON |
| Zip Code | 52655 |
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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.