GREENE COUNTY MEDICAL CENTER (NPI# 1245260652) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1245260652 |
| Entity Type | Organization |
| Organization Name | GREENE COUNTY MEDICAL CENTER |
| Practice Address |
1000 W Lincolnway St Jefferson IA 50129-1645 |
| Practice Telephone | 5153862114 |
| Practice Fax Number | 5153863695 |
| Mailing Telephone | 5153862114 |
| Mailing Fax Number | 5153863695 |
| Enumeration Date | 2006-07-03 |
| Last Update Date | 2020-04-02 |
| Authorized Official Name | TRACY D WARNER (CEO) |
| Authorized Official Telephone | 5153862114 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 282NC0060X |
General Acute Care Hospital Specialization: Critical Access |
370024H | IA | Hospitals |
| Y | 261QE0002X |
Clinic/Center Specialization: Emergency Care |
Ambulatory Health Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| IA | 0744946 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1457825192 | Greene County Medical Center | Clinic/Center | 1000 W Lincoln Way Ste 100, Jefferson, IA 50129-1645 | 2019-01-16 |
| 1962436972 | Greene County Medical Center | Clinic/Center | 803 E Main St, Panora, IA 50216-1055 | 2006-07-10 |
| 1083654883 | Greene County Medical Center | General Acute Care Hospital | 1000 W Lincoln Way, Jefferson, IA 50129-1645 | 2006-06-08 |
| 1336574946 | Greene County Medical Center | Nurse Anesthetist, Certified Registered | 1000 W Lincoln Way, Jefferson, IA 50129-1645 | 2013-09-13 |
| 1073871471 | Greene County Medical Center | Public Health or Welfare | 1000 W Lincolnway St, Jefferson, IA 50129-1645 | 2012-04-24 |
| 1134433923 | Greene County Medical Center | Social Worker | 1000 W Lincoln Way, Jefferson, IA 50129-1645 | 2010-08-04 |
| 1629226832 | Greene County Medical Center | Obstetrics & Gynecology | 1000 W Lincolnway St, Suite Awc, Jefferson, IA 50129-1645 | 2008-08-29 |
| 1346462785 | Greene County Medical Center | Pharmacy | 1000 W Lincolnway St, Jefferson, IA 50129-1645 | 2007-05-03 |
| 1649337346 | Greene County Medical Center | Durable Medical Equipment & Medical Supplies | 1000 W Lincolnway St, Jefferson, IA 50129-1645 | 2007-01-02 |
| 1629153176 | Greene County Medical Center | Medicare Defined Swing Bed Unit | 1000 W Lincoln Way, Jefferson, IA 50129-1645 | 2006-10-25 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| Iowa Business Entities | GREENE COUNTY MEDICAL CENTER FOUNDATION | 1000 W. Lincolnway, Jefferson, IA 50129 |
| Street Address |
1000 W LINCOLNWAY ST |
| City | JEFFERSON |
| State | IA |
| Zip Code | 50129-1645 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1073871471 | Greene County Medical Center | Public Health or Welfare | 1000 W Lincolnway St, Jefferson, IA 50129-1645 | 2012-04-24 |
| 1316248875 | Valerie Noel Martin | Advanced Practice Midwife | 1000 W Lincolnway St, Advanced Women's Care, Jefferson, IA 50129-1645 | 2010-11-15 |
| 1629226832 | Greene County Medical Center | Obstetrics & Gynecology | 1000 W Lincolnway St, Suite Awc, Jefferson, IA 50129-1645 | 2008-08-29 |
| 1174726962 | Jeffrey Robert Wahl | Orthopaedic Surgery | 1000 W Lincolnway St, Suite Wco, Jefferson, IA 50129-1645 | 2007-06-08 |
| 1639386469 | Bonnie Ann Orris | Pharmacist | 1000 W Lincolnway St, Jefferson, IA 50129-1645 | 2007-05-17 |
| 1346462785 | Greene County Medical Center | Pharmacy | 1000 W Lincolnway St, Jefferson, IA 50129-1645 | 2007-05-03 |
| 1649337346 | Greene County Medical Center | Durable Medical Equipment & Medical Supplies | 1000 W Lincolnway St, Jefferson, IA 50129-1645 | 2007-01-02 |
| 1063592582 | Greene County Medical Center | Home Health | 1000 W Lincolnway St, Jefferson, IA 50129-1645 | 2006-10-17 |
| 1649378621 | Greene County Medical Center | Nursing Facility/Intermediate Care Facility | 1000 W Lincolnway St, Jefferson, IA 50129-1645 | 2006-09-21 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1932689494 | John Bryan Brunow | Durable Medical Equipment & Medical Supplies | 208 E Lincoln Way, Jefferson, IA 50129 | 2018-08-15 |
| 1083903140 | Private Victories Counseling Services, LLC | Marriage & Family Therapist | 115 East Lincolnway, Suite 340, Jefferson, IA 50129 | 2011-03-29 |
| 1093860108 | William Hoyt Monroe | Pharmacist | 400 North Elm Street, Jefferson, IA 50129 | 2007-01-25 |
| 1073672036 | Martin W Miller | Chiropractor | 206 N Grimmell Road, Jefferson, IA 50129 | 2006-12-06 |
| 1972548303 | Hy Vee Inc | Pharmacy | 106 W. Washington Street, Suite 1, Jefferson, IA 50129 | 2006-06-19 |
| 1720052996 | Michael Dean Smith | Audiologist-Hearing Aid Fitter | 100 S Wilson Ave, Jefferson, IA 50129 | 2006-02-15 |
| 1407843220 | Laurie Lynn Connolly | Family Medicine | 1002 Lincoln Way, Jefferson, IA 50129 | 2005-10-06 |
| 1639173685 | Anglemyer Pharmacies LLC | Durable Medical Equipment & Medical Supplies | 400 N Elm St, Jefferson, IA 50129 | 2005-06-08 |
| 1174740385 | Holly M Van De Voort | Pediatrics | 1000 W Lincoln Way, Jefferson, IA 50129 | 2007-04-19 |
| 1235127481 | Thomas W. Fagg | Family Medicine | 1002 Lincoln Way, Jefferson, IA 50129 | 2005-10-12 |
| Find all providers in zip 50129 | ||||
| Taxonomy Code | 261QE0002X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Emergency Care |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1285891598 | Buffalo Center Volunteer Ambulance | Clinic/Center | Hwy 9, Buffalo Center, IA 50424 | 2008-05-22 |
| 1023238615 | City of Bondurant | Clinic/Center | 200 2nd St Ne, Bondurant, IA 50035-1021 | 2007-04-26 |
| 1619969086 | Crawford County Memorial Hospital | Clinic/Center | 2020 1st Ave S, Denison, IA 51442-2210 | 2005-08-22 |
| 1730407362 | Rchp - Ottumwa LLC | Clinic/Center | 1001 Pennsylvania Ave, Ottumwa, IA 52501-6427 | 2010-05-06 |
| 1477690519 | Clarinda Regional Health Center Er | Clinic/Center | 220 Essie Davison Dr, Clarinda, IA 51632-2915 | 2007-01-30 |
| 1700935202 | Ringgold County Hospital | Clinic/Center | 504 N. Cleveland St., Mount Ayr, IA 50854-2201 | 2007-01-10 |
| 1386709129 | Madison County Memorial Hospital | Clinic/Center | 300 W Hutchings St, Winterset, IA 50273-2104 | 2006-12-22 |
| 1043384423 | City of Sutherland | Clinic/Center | 116 Pine St, Sutherland, IA 51058 | 2006-11-20 |
| 1144306945 | Regional Health Services of Howard County | Clinic/Center | 321 8th Ave W, Cresco, IA 52136-1064 | 2006-10-27 |
| 1649354937 | Franklin General Hospital | Clinic/Center | 1720 Central Ave E, Hampton, IA 50441-1859 | 2006-10-24 |
| 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.