SHELBY COUNTY CHRIS A MYRTUE MEMORIAL HOSPITAL


Address: 2712 12th St, Harlan, IA 51537-2306
Phone: 7127554308

SHELBY COUNTY CHRIS A MYRTUE MEMORIAL HOSPITAL (NPI# 1134225048) 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) 1134225048
Entity Type Organization
Organization Name SHELBY COUNTY CHRIS A MYRTUE MEMORIAL HOSPITAL
Other Organization Name MYRTUE MEDICAL CENTER HOSPICE
Practice Address 2712 12th St
Harlan
IA 51537-2306
Mailing Address 1213 Garfield Ave
Harlan
IA 51537-2057
Practice Telephone 7127554308
Practice Fax Number 7127554590
Mailing Telephone 7127555161
Mailing Fax Number 7127554412
Enumeration Date 2006-09-16
Last Update Date 2010-12-13
Authorized Official Name MR. BARRY A. JACOBSEN (CEO)
Authorized Official Telephone 7127554315
Is Organization Subpart Y
Parent Organization Name SHELBY COUNTY CHRIS A MYRTUE MEMORIAL HOSPITAL

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 251G00000X Hospice Care, Community Based Agencies

Other Provider Identifier

State Issuer Identifier Type Code
IA 06715559 05

Other Provider/Organization Names

Other Name Type Code
Myrtue Medical Center Hospice Doing Business As Name - Organization

Other Provider IDs and Locations

NPI Name Taxonomy Address Enumeration
1841393493 Shelby County Chris A Myrtue Memorial Hospital Clinic/Center 510 N Elm St, Avoca, IA 51521-3521 2006-09-07
1396847521 Shelby County Chris A Myrtue Memorial Hospital Home Health 2712 12th St, Harlan, IA 51537-2306 2006-09-01
1316054034 Shelby County Chris A Myrtue Memorial Hospital Clinic/Center 301 East Street, Shelby, IA 51570-3319 2006-08-25
1467569905 Shelby County Chris A Myrtue Memorial Hospital Clinic/Center 4022 Main Street, Elk Horn, IA 51531-2102 2006-08-23
1417342288 Shelby County Chris A Myrtue Memorial Hospital Clinic/Center 100 Industrial Dr, Ste 101, Earling, IA 51530-5213 2015-03-30
1043316953 Shelby County Chris A Myrtue Memorial Hospital Medicare Defined Swing Bed Unit 1213 Garfield Ave, Harlan, IA 51537-2057 2006-09-16
1992817886 Shelby County Chris A Myrtue Memorial Hospital Clinic/Center 1220 Chatburn Ave, Harlan, IA 51537-2009 2006-08-31
1598871469 Shelby County Chris A Myrtue Memorial Hospital General Acute Care Hospital 1213 Garfield Ave, Harlan, IA 51537-2057 2006-08-22

Office Location

Street Address 2712 12TH ST
City HARLAN
State IA
Zip Code 51537-2306

Providers in the same location

NPI Name Taxonomy Address Enumeration
1396847521 Shelby County Chris A Myrtue Memorial Hospital Home Health 2712 12th St, Harlan, IA 51537-2306 2006-09-01

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NPI Name Taxonomy Address Enumeration
1063925097 Morningview Dental, Pllc Dentist 1116 Morningview Dr., Harlan, IA 51537 2017-11-13
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1043449168 Edith H Shetler Speech-Language Pathologist 1213 Garlfied Ave, Harlan, IA 51537 2009-07-10
1114086287 Heartland Family Service Clinic/Center 1710 Industrial Pkwy, Harlan, IA 51537 2006-12-06
1356457535 Phillip Lynn Markham Dentist 2105 Pine St, Harlan, IA 51537 2006-08-21
1831114255 Concerned, Inc. Day Training, Developmentally Disabled Services 1802 Industrial Parkway, Harlan, IA 51537 2006-07-13
1457323198 Michael R Rosmann Psychologist 1210 7th St, Ste C Michael R Rosmann Phd, Harlan, IA 51537 2006-02-06
1912982075 Bret D. Heileson Emergency Medicine 1220 Chatburn Avenue, Harlan, IA 51537 2005-12-13
1821468547 Swfac Podiatrist 1213 Garfield Ave, Harlan, IA 51537 2015-10-07
1043443260 White Pine Dental Group Pllc Dentist 2105 Pine St, Harlan, IA 51537 2009-09-04
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Taxonomy Information

Taxonomy Code 251G00000X
Grouping Agencies
Classification Hospice Care, Community Based

Taxonomy Definition

Definition to come...

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NPI Name Taxonomy Address Enumeration
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1144868928 Physmed Iowa LLC Hospice Care, Community Based 1130 S Scott Blvd Ste 201, Iowa City, IA 52240-2908 2019-12-12
1750926481 Moments Hospice of Des Moines LLC Hospice Care, Community Based 4150 Westown Pkwy Ste 106, West Des Moines, IA 50266-5901 2019-11-18
1285197160 Visiting Nurse Services of Iowa Hospice Care, Community Based 118 N. Main Street, Mount Pleasant, IA 52641-2052 2019-04-09
1053877332 Cedar Valley Hospice, LLC Hospice Care, Community Based 1850 Boyson Rd Ste A, Hiawatha, IA 52233-2316 2019-02-12
1598278434 Mary Melissa Buchanan Hospice Care, Community Based 6101 Goodman Dr, Urbandale, IA 50322 2017-11-14
1083136410 Compassion North America Home Health Services Corp Hospice Care, Community Based 1570 42nd Street Ne, Suite #2a, Cedar Rapids, IA 52402 2017-07-07
1588191829 Unitypoint At Home Hospice Care, Community Based 290 Blairs Ferry Rd Ne Ste 100, Cedar Rapids, IA 52402-1618 2017-05-17
1043757495 Avalon Hospice Iowa, LLC Hospice Care, Community Based 4601 Westown Pkwy, Suite 105, West Des Moines, IA 50266-1081 2017-01-24
1023401254 Hospice of The Midwest, LLC Hospice Care, Community Based 9203 Northpark Dr, Johnston, IA 50131-2933 2015-03-12
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City HARLAN
Zip Code 51537

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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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