PALO ALTO COUNTY HOSPITAL (NPI# 1164434080) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1164434080 |
| Entity Type | Organization |
| Organization Name | PALO ALTO COUNTY HOSPITAL |
| Other Organization Name | FAMILY PRACTICE CLINIC-WEST BEND |
| Practice Address |
107 Division St West Bend IA 50597-0000 |
| Mailing Address |
3201 1st St Emmetsburg IA 50536-2516 |
| Practice Telephone | 5158877891 |
| Practice Fax Number | 5158877893 |
| Mailing Telephone | 7128525500 |
| Mailing Fax Number | 7128525409 |
| Enumeration Date | 2006-08-12 |
| Last Update Date | 2012-07-06 |
| Authorized Official Name | DESIREE A EINSWEILER (CEO) |
| Authorized Official Telephone | 7128525401 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207Q00000X | Family Medicine | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| IA | WELLMARK | 48687 | 01 |
| IA | 0257287 | 05 |
| Other Name | Type Code |
|---|---|
| FAMILY PRACTICE CLINIC-WEST BEND | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1811063795 | Palo Alto County Hospital | Clinic/Center | 109 W Robbins St, Graettinger, IA 51342-7732 | 2006-11-24 |
| 1962572776 | Palo Alto County Hospital | Clinic/Center | 107 W Division St, West Bend, IA 50597-7738 | 2006-11-09 |
| 1336151356 | Palo Alto County Hospital | Family Medicine | 109 Robins Av, Graettinger, IA 51342-0000 | 2006-08-12 |
| 1992708531 | Palo Alto County Hospital | Home Health | 3201 1st St, Emmetsburg, IA 50536-2516 | 2005-05-27 |
| 1821340803 | Palo Alto County Hospital | Public Health or Welfare | 3201 1st St, Emmetsburg, IA 50536-2516 | 2012-10-15 |
| 1639243116 | Palo Alto County Hospital | Clinic/Center | 3201 1st St, Emmetsburg, IA 50536-2516 | 2006-11-17 |
| 1245334960 | Palo Alto County Hospital | Ambulance | 3201 1st St, Emmetsburg, IA 50536-2516 | 2006-09-12 |
| 1598869232 | Palo Alto County Hospital | Hospice Care, Community Based | 3201 1st St, Emmetsburg, IA 50536-2516 | 2006-09-12 |
| 1104939040 | Palo Alto County Hospital | Nursing Facility/Intermediate Care Facility | 3201 1st St, Emmetsburg, IA 50536-2516 | 2006-08-16 |
| 1326051574 | Palo Alto County Hospital | Family Medicine | 3201 1st St, Emmetsburg, IA 50536-2516 | 2006-08-15 |
| Street Address |
107 DIVISION ST |
| City | WEST BEND |
| State | IA |
| Zip Code | 50597-0000 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1972169282 | Hughes Pharmacy Services Inc. | Pharmacy | 105 South Broadway Avenue, West Bend, IA 50597 | 2019-05-13 |
| 1346214087 | Careage Management LLC | Skilled Nursing Facility | 203 4th St, West Bend, IA 50597 | 2006-02-16 |
| 1649340605 | Jillian Jan Hansen | Chiropractor | 323 South Broadway, West Bend, IA 50597-0297 | 2006-11-08 |
| 1184917148 | Prairie Creek Healthcare, Inc. | Assisted Living Facility | 203 4th St Nw, West Bend, IA 50597-5114 | 2011-05-24 |
| 1780752923 | West Bend Care Center | Nursing Facility/Intermediate Care Facility | 203 4th St Nw, West Bend, IA 50597-5114 | 2006-12-04 |
| 1962572776 | Palo Alto County Hospital | Clinic/Center | 107 W Division St, West Bend, IA 50597-7738 | 2006-11-09 |
| 1144429119 | West Bend - Mallard Community School District | Local Education Agency (LEA) | 300 3rd Ave Sw, West Bend, IA 50597-8573 | 2007-07-11 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1225639024 | Lyndsay Chapman | Nurse Practitioner | 836 W Badger Ln, West Bend, WI 53095-4502 | 2020-11-06 |
| 1073113841 | Spine Solutions of West Bend LLC | Clinic/Center | 1000 Gateway Ct Ste 200, West Bend, WI 53095-8541 | 2020-10-29 |
| 1013535491 | Debra Ann Martens Mcpherrin | Licensed Practical Nurse | 551 Rivershores Dr, West Bend, WI 53090-2531 | 2020-07-11 |
| 1649892977 | Jessica Street | Registered Nurse | 843 Eastern Ave Apt 14, West Bend, WI 53095-4834 | 2020-05-08 |
| 1942820428 | David Fountain | Contractor | 726 Creedwood Lane, West Bend, WI 53095 | 2020-04-24 |
| 1386263846 | Peggy Kaye | Registered Nurse | 1932 Woodlawn Ave, West Bend, WI 53090-1532 | 2020-04-14 |
| 1710506696 | Brittany N Berens | Student in an Organized Health Care Education/Training Program | 5793 W Lake Dr, West Bend, WI 53095-8447 | 2020-04-10 |
| 1821626268 | Brannon Zochert | Student in an Organized Health Care Education/Training Program | 3335 Rock Ridge Rd, West Bend, WI 53095-7600 | 2020-03-31 |
| 1215563291 | Kayla Janto | Student in an Organized Health Care Education/Training Program | 1145 Kinross Ct, West Bend, WI 53095-3825 | 2020-03-21 |
| 1659907392 | Michelle Monroe | Counselor | 601 Kohler Dr, West Bend, WI 53090-9036 | 2020-03-13 |
| Find all providers in WEST BEND | ||||
| Taxonomy Code | 207Q00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Family Medicine |
| Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. |
| Notes: Source: American Board of Family Medicine [1/1/2007: changed title; 7/1/2007: added definition, added source; 7/1/2017: modified definition] - Note: The American Osteopathic Board of Family Physicians certification includes extensive use of Osteopathic Manipulative Treatment (OMT), which integrates the biological, clinical, and behavioral sciences. - Additional Resources: American Board of Family Medicine, www.theabfm.org. American Osteopathic Board of Family Physicians, www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Family Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Family Physicians or the American Board of Family Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1326555442 | Independent Physicians of Wisconsin LLC | Family Medicine | 140 E. Water St. Ste 1, West Bend, WI 53095-3415 | 2018-01-10 |
| 1912423773 | Michelle R Prentice | Family Medicine | West Bend Health Center, 1700 W. Paradise Drive, West Bend, WI 53095 | 2017-08-14 |
| 1588638498 | Brian Roland Wolter | Family Medicine | 140 E Water St Ste 1, West Bend, WI 53095-3414 | 2006-02-15 |
| 1346214897 | Ryszard Cholewa | Family Medicine | 1100 Gateway Ct, West Bend, WI 53095-8539 | 2006-02-13 |
| 1992328553 | Elizabeth Dille | Family Medicine | 3200 Pleasant Valley Rd, West Bend, WI 53095-9274 | 2020-05-18 |
| 1134656374 | Daniela Aleman | Family Medicine | 1700 W Paradise Dr, West Bend, WI 53095-9795 | 2017-05-18 |
| 1356897714 | Paladina Health, LLC | Family Medicine | 705 Village Green Way, Suite 101, West Bend, WI 53090-2527 | 2016-08-26 |
| 1801280177 | Omuwa Braimah | Family Medicine | 1100 Gateway Ct, West Bend, WI 53095 | 2015-03-25 |
| 1447644745 | Raheel Mody | Family Medicine | 205 Valley Ave, West Bend, WI 53095 | 2015-03-24 |
| 1700229846 | Tracy Drake | Family Medicine | 3200 Pleasant Valley Rd, West Bend, WI 53095-9274 | 2013-04-08 |
| Find all providers in WEST BEND | ||||
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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.