DECATUR COUNTY HOSPITAL (NPI# 1164639720) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1164639720 |
| Entity Type | Organization |
| Organization Name | DECATUR COUNTY HOSPITAL |
| Other Organization Name | DECATUR COUNTY HOSPITAL RADIOLOGISTS |
| Practice Address |
1405 Nw Church St Leon IA 50144-1267 |
| Practice Telephone | 6414464871 |
| Mailing Telephone | 6414464871 |
| Enumeration Date | 2007-05-16 |
| Last Update Date | 2007-07-09 |
| Authorized Official Name | DARRELL VONDRAK (CEO) |
| Authorized Official Telephone | 6414462339 |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2085R0202X |
Radiology Specialization: Diagnostic Radiology |
270089H | IA | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| IA | BC GRP# | 51884 | 01 |
| IA | 2302422 | 05 |
| Other Name | Type Code |
|---|---|
| Decatur County Hospital Radiologists | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1144209255 | Decatur County Hospital | General Acute Care Hospital | 1405 Nw Church St, Leon, IA 50144-1267 | 2006-01-17 |
| 1760632640 | Decatur County Hospital | Family Medicine | 1405 Nw Church St, Leon, IA 50144-1205 | 2008-09-26 |
| 1043427610 | Decatur County Hospital | Ambulance | 1405 Nw Church St, Leon, IA 50144-1267 | 2007-05-16 |
| 1336356906 | Decatur County Hospital | Nurse Practitioner | 1405 Nw Church St, Leon, IA 50144-1205 | 2007-05-16 |
| 1366525891 | Decatur County Hospital | Medicare Defined Swing Bed Unit | 1405 Nw Church St, Leon, IA 50144-1267 | 2006-10-20 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| System for Award Management (SAM) Entities | DECATUR COUNTY HOSPITAL | 810 W Columbia St, Oberlin, KS 67749-2450 |
| Iowa Business Entities | DECATUR COUNTY HOSPITAL AUXILIARY | 1405 Nw Church St., Leon, IA 50144 |
| Street Address |
1405 NW CHURCH ST |
| City | LEON |
| State | IA |
| Zip Code | 50144-1267 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1144209255 | Decatur County Hospital | General Acute Care Hospital | 1405 Nw Church St, Leon, IA 50144-1267 | 2006-01-17 |
| 1285120659 | Miranda Nicole Helm | Emergency Medicine | 1405 Nw Church St, Leon, IA 50144-1205 | 2018-07-09 |
| 1518470392 | Timothy Alan Harper | Nurse Practitioner | 1405 Nw Church St, Leon, IA 50144-1205 | 2017-11-15 |
| 1760632640 | Decatur County Hospital | Family Medicine | 1405 Nw Church St, Leon, IA 50144-1205 | 2008-09-26 |
| 1043427610 | Decatur County Hospital | Ambulance | 1405 Nw Church St, Leon, IA 50144-1267 | 2007-05-16 |
| 1336356906 | Decatur County Hospital | Nurse Practitioner | 1405 Nw Church St, Leon, IA 50144-1205 | 2007-05-16 |
| 1366525891 | Decatur County Hospital | Medicare Defined Swing Bed Unit | 1405 Nw Church St, Leon, IA 50144-1267 | 2006-10-20 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1306469168 | Michaella Marie Power | Technician | 401 Se Q St, Apt 31, Leon, IA 50144 | 2020-05-27 |
| 1285764175 | Decatur County Community Services | Case Management | 201 Ne Idaho, Leon, IA 50144 | 2007-03-07 |
| 1093793051 | County of Decatur | Home Health | 207 Ne Idaho St, Leon, IA 50144 | 2006-01-09 |
| 1073557146 | James David Hook | Counselor | 302 Ne 14th St, Leon, IA 50144 | 2006-06-16 |
| 1437100294 | John Young | Counselor | 302 Ne 14th St, Leon, IA 50144 | 2006-05-15 |
| 1003867888 | Mark S Hensley | Nurse Practitioner | 302 Ne 14th St, Leon, IA 50144 | 2006-05-15 |
| 1356860498 | Mara Wengryn | Chiropractor | 303 Sw Lorraine St Ste C, Leon, IA 50144-1101 | 2017-09-10 |
| 1184025918 | Westview Properties LLC | Assisted Living Facility | 203 Sw Lorraine St, Leon, IA 50144-1176 | 2014-09-11 |
| 1467422709 | Westview Acres Corp | Alzheimer Center (Dementia Center) | 203 Sw Lorraine St., Leon, IA 50144-1176 | 2006-01-26 |
| 1497827570 | South Central Home Health Care Inc | Home Health | 303 Sw Lorraine St, Leon, IA 50144-1178 | 2006-11-14 |
| Find all providers in zip 50144 | ||||
| Taxonomy Code | 2085R0202X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Radiology |
| Specialization | Diagnostic Radiology |
| A radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Radiology, 2007. http://www.theabr.org/. American Osteopathic Board of Radiology, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Radiology. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Radiology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1821411547 | Robert Picchiotti | Radiology | 2189 Saint Andrews Cir, Bettendorf, IA 52722-6655 | 2014-01-31 |
| 1295097970 | Alexander Macrae Harvin | Radiology | 5095 S Shore Dr, Clear Lake, IA 50428 | 2012-06-08 |
| 1871825281 | Gregory Day | Radiology | 2609 Bittersweet Pl, Burlington, IA 52601-2510 | 2010-02-10 |
| 1891921813 | Christopher M. Luty | Radiology | 378 N Scott Blvd, Iowa City, IA 52245-4110 | 2009-06-04 |
| 1609012145 | Kfl Radiology Plc | Radiology | 1002 River Forest Ct, Fort Dodge, IA 50501-7019 | 2009-01-06 |
| 1447400288 | Sarah Pauley | Radiology | Radiology Consultants of Iowa, Plc, 1948 1st Ave Ne, Cedar Rapids, IA 52402-5321 | 2008-09-29 |
| 1982869764 | Khaled Ali Hamada | Radiology | 801 Fifth Street, Sioux City, IA 51101-1326 | 2008-07-22 |
| 1902068083 | Ashlesha Sharma | Radiology | 3617 Ross Rd, Ames, IA 50014 | 2008-06-30 |
| 1598961187 | Shiv Patel | Radiology | 200 Hawkins Dr Dept Of, Iowa City, IA 52242 | 2007-06-21 |
| 1164640041 | Bryan P Navarette | Radiology | 1010 4th St Sw Ste 100, Mason City, IA 50401-2856 | 2007-04-23 |
| Find all providers with the same taxonomy | ||||
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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.