STEWART MEMORIAL COMMUNITY HOSPITAL (NPI# 1225062482) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1225062482 |
Entity Type | Organization |
Organization Name | STEWART MEMORIAL COMMUNITY HOSPITAL |
Other Organization Name | MCCRARY-ROST CLINIC |
Practice Address |
24 S Main St Dayton IA 50530-7698 |
Practice Telephone | 7124644229 |
Practice Fax Number | 7124647412 |
Enumeration Date | 2006-07-11 |
Last Update Date | 2008-06-17 |
Authorized Official Name | JAMES L HENKENIUS (CHIEF FINANCIAL OFFICER) |
Authorized Official Telephone | 7124643171 |
Is Organization Subpart | Y |
Parent Organization Name | STEWART MEMORIAL COMMUNITY HOSPITAL |
Parent Organization TIN |
|
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 261QP2300X |
Clinic/Center Specialization: Primary Care |
Ambulatory Health Care Facilities |
Other Name | Type Code |
---|---|
McCrary-Rost Clinic | Doing Business As Name - Organization |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1518943083 | Stewart Memorial Community Hospital | Pharmacy | 1321 W Main St, Lake City, IA 51449-1585 | 2005-12-16 |
1184609927 | Stewart Memorial Community Hospital | Pharmacy | 507 E Lake St, Rockwell City, IA 50579-1711 | 2005-12-14 |
1063497188 | Stewart Memorial Community Hospital | General Acute Care Hospital | 1301 W Main St, Lake City, IA 51449-1585 | 2005-12-12 |
1316240104 | Stewart Memorial Community Hospital | Social Worker | 505 E Lake St, Rockwell City, IA 50579-1711 | 2010-12-16 |
1164617619 | Stewart Memorial Community Hospital | Nurse Practitioner | 24 S Main St, Dayton, IA 50530-7698 | 2007-09-07 |
1215155080 | Stewart Memorial Community Hospital | Clinic/Center | 1351 W Main St, Lake City, IA 51449-1585 | 2007-04-24 |
1396887394 | Stewart Memorial Community Hospital | General Acute Care Hospital | 1301 W Main St, Lake City, IA 51449-1585 | 2007-02-13 |
1013058924 | Stewart Memorial Community Hospital | Nurse Practitioner | 1301 W Main St, Lake City, IA 51449-1585 | 2007-02-12 |
1740321652 | Stewart Memorial Community Hospital | Nurse Practitioner | 1301 W Main St, Lake City, IA 51449-1585 | 2007-02-12 |
1659412567 | Stewart Memorial Community Hospital | Durable Medical Equipment & Medical Supplies | 1301 W Main St, Lake City, IA 51449-1585 | 2007-02-12 |
Entity Type | Entity Name | Entity Address |
---|---|---|
System for Award Management (SAM) Entities | STEWART MEMORIAL COMMUNITY HOSPITAL | 1301 West Main St, Lake City, IA 51449-1585 |
Street Address |
24 S MAIN ST |
City | DAYTON |
State | IA |
Zip Code | 50530-7698 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1689087215 | Community Health Center of Fort Dodge, Inc. | Clinic/Center | 24 S Main St, Dayton, IA 50530 | 2014-06-11 |
1629413141 | Hamilton County Public Hospital | Clinic/Center | 24 S Main St, Dayton, IA 50530-7698 | 2013-05-10 |
1730524430 | Hamilton County Public Hospital | Clinic/Center | 24 S Main St, Dayton, IA 50530-7698 | 2013-05-08 |
1164617619 | Stewart Memorial Community Hospital | Nurse Practitioner | 24 S Main St, Dayton, IA 50530-7698 | 2007-09-07 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1932190758 | Grandview Health Care Center, Inc. | Skilled Nursing Facility | 508 2nd St Ne, Dayton, IA 50530-7530 | 2005-11-01 |
1972969681 | Premier Estates 502, LLC | Skilled Nursing Facility | 508 2nd St Ne, Dayton, IA 50530-7530 | 2016-01-11 |
1417236589 | Shannon C Marso | Skilled Nursing Facility | 508 2nd St Ne, Dayton, IA 50530-7530 | 2011-08-08 |
1013113968 | Daniel Dee Cody | Physical Therapy Assistant | 508 2nd St Ne, Dayton, IA 50530-7530 | 2007-06-26 |
1255537361 | Andy Goings | Occupational Therapy Assistant | 508 2nd St Ne, Dayton, IA 50530-7530 | 2007-06-25 |
1700082310 | Christie Cody | Physical Therapist | 508 2nd St Ne, Dayton, IA 50530-7530 | 2007-06-21 |
1891862306 | Dayton Rescue Squad | Emergency Medical Technician, Basic | 27 1st Ave Sw, Dayton, IA 50530-7661 | 2006-11-29 |
1083798433 | Frederick C and Ann Marcalus | Pharmacist | 21 S Main St, Dayton, IA 50530-7698 | 2006-10-24 |
Taxonomy Code | 261QP2300X |
Grouping | Ambulatory Health Care Facilities |
Classification | Clinic/Center |
Specialization | Primary Care |
Definition to come... |
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---|---|---|---|---|
1881132660 | The Demorgan Wellness Group | Clinic/Center | 8913 N Main St Ste B, Dayton, OH 45415-1397 | 2017-02-01 |
1417404849 | Five Rivers Health Center | Clinic/Center | 725 S. Ludlow St, Dayton, OH 45402 | 2016-09-01 |
1760885156 | Horton Family Medicine | Clinic/Center | 7693 Rhea County Hwy Ste 3, Dayton, TN 37321-6083 | 2014-09-30 |
1730719543 | Mahajan Therapeutics, LLC | Clinic/Center | 6300 N Main St, Dayton, OH 45415-3154 | 2020-01-21 |
1457835076 | Quad/med, LLC | Clinic/Center | 1 Reynolds Way, Dayton, OH 45430 | 2018-09-19 |
1205175387 | Dayton Primary & Urgent Care | Clinic/Center | 301 W 1st St, Dayton, OH 45402-3033 | 2013-02-08 |
1174812457 | Community Health Centers of Greater Dayton | Clinic/Center | 165 S Edwin C Moses Blvd, Dayton, OH 45402-8472 | 2011-04-07 |
1225348626 | Kevin M Reid D O Inc | Clinic/Center | 425 W Grand Ave, Suite 2001, Dayton, OH 45405-4775 | 2010-10-19 |
1770741597 | Good Samaritan Hospital & Health Center | Clinic/Center | 921 S. Edwin C. Moses Blvd., Dayton, OH 45417-3464 | 2008-05-29 |
1700064037 | Community Health Centers of Greater Dayton | Clinic/Center | 2351 Stanley Ave, Dayton, OH 45404-1201 | 2008-02-08 |
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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.