SHELBY COUNTY CHRIS A MYRTUE MEMORIAL HOSPITAL (NPI# 1316054034) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1316054034 |
| Entity Type | Organization |
| Organization Name | SHELBY COUNTY CHRIS A MYRTUE MEMORIAL HOSPITAL |
| Other Organization Name | MYRTUE MEDICAL CENTER - SHELBY CLINIC |
| Practice Address |
301 East Street Shelby IA 51570-3319 |
| Mailing Address |
1213 Garfield Ave Harlan IA 51537-2057 |
| Practice Telephone | 7125442511 |
| Practice Fax Number | 7125442512 |
| Mailing Telephone | 7127555161 |
| Mailing Fax Number | 7127554412 |
| Enumeration Date | 2006-08-25 |
| Last Update Date | 2010-12-14 |
| 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 |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QR1300X |
Clinic/Center Specialization: Rural Health |
Ambulatory Health Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| IA | 0685131 | 05 |
| Other Name | Type Code |
|---|---|
| Myrtue Medical Center - Shelby Clinic | Doing Business As Name - Organization |
| 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 |
| 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 |
| 1134225048 | Shelby County Chris A Myrtue Memorial Hospital | Hospice Care, Community Based | 2712 12th St, Harlan, IA 51537-2306 | 2006-09-16 |
| 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 |
| Street Address |
301 EAST STREET |
| City | SHELBY |
| State | IA |
| Zip Code | 51570-3319 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1689759169 | Shelby County Chris A. Myrtue Memorial Hospital | Clinic/Center | 301 East Street, Shelby, IA 51570 | 2006-10-25 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1629131206 | Rem Iowa, Inc | Intermediate Care Facility, Mentally Retarded | 23 East St, Shelby, IA 51570 | 2006-12-18 |
| 1548322761 | Rem Iowa, Inc | Intermediate Care Facility, Mentally Retarded | 25 East Street, Shelby, IA 51570 | 2006-12-14 |
| 1689737934 | Rem Iowa Community Services, Inc. | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 27 East St, Shelby, IA 51570 | 2006-12-18 |
| 1356403430 | Rem Iowa Community Services, Inc. | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 33 East St, Shelby, IA 51570 | 2006-12-14 |
| 1275675290 | Town of Shelby | Ambulance | 402 Center St, Box #6, Shelby, IA 51570-3400 | 2007-02-13 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1790384022 | Brandi Lee Gregory | Private Vehicle | 53 Edgewood Dr, Shelby, OH 44875-1811 | 2020-10-19 |
| 1073124418 | Brett Rachael Fox | Specialist/Technologist | 9152 W Warren Rd, Shelby, MI 49455-9652 | 2020-08-10 |
| 1457960122 | Jaclyn Grace Gelabert | Physician Assistant | 125 Oak Ave Apt B, Shelby, NC 28152-8252 | 2020-07-28 |
| 1528676848 | Jay C. Stevens | Licensed Practical Nurse | 55 W Smiley Ave, Shelby, OH 44875-1004 | 2020-07-22 |
| 1609493832 | Hazel Ramos | Physical Therapist | 1405 S Lafayette St, Shelby, NC 28152-6657 | 2020-07-04 |
| 1306462692 | Carrie Anne Debrew | Physician Assistant | 2621 Flagstone Ct, Shelby, NC 28152-8075 | 2020-06-22 |
| 1922623750 | Lindsay Mizok Bostian | Physician Assistant | 215 Hillcrest St, Shelby, NC 28152-7726 | 2020-06-08 |
| 1659995710 | Kristopher Neal Priddy | Physician Assistant | 405 Forest Hill Dr, Shelby, NC 28150-5520 | 2020-06-04 |
| 1366065500 | Lisa Lynn Carder | Physician Assistant | 904 Foxcroft Cir Apt D, Shelby, NC 28152-6868 | 2020-05-22 |
| 1114540390 | Tiana Leilani Gomes | Physician Assistant | 1635 S Dekalb St Apt 605, Shelby, NC 28152-8787 | 2020-05-22 |
| Find all providers in SHELBY | ||||
| Taxonomy Code | 261QR1300X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Rural Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1598904377 | Hl Campbell Rural Health Clinic | Clinic/Center | 901 Forest Street, Shelby, MS 38774 | 2009-02-18 |
| 1528046513 | Cleco Primary Care Network | Clinic/Center | 808 Schenck Street, Shelby, NC 28150 | 2006-01-09 |
| 1508363060 | Delta Medical Foundation | Clinic/Center | 1209 Broadway St, Shelby, MS 38774-0269 | 2018-04-11 |
| 1588080030 | Mercy Health Partners | Clinic/Center | 71 Bevier St, Shelby, MI 49455-1209 | 2014-03-07 |
| 1407099393 | Lakeshore Community Hospital, Inc | Clinic/Center | 71 Bevier St, Shelby, MI 49455-1239 | 2009-04-08 |
| 1982855144 | Lakeshore Community Hospital, Inc. | Clinic/Center | 71 Bevier St, Shelby, MI 49455-1209 | 2008-10-07 |
| 1689759169 | Shelby County Chris A. Myrtue Memorial Hospital | Clinic/Center | 301 East Street, Shelby, IA 51570 | 2006-10-25 |
| 1669443487 | Cleco Primary Care Network | Clinic/Center | 808 Schenck Street, Shelby, NC 28150 | 2006-01-30 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1881294536 | Jefferson County Hospital | Clinic/Center | 107 W Harrison St, Richland, IA 52585-9549 | 2020-10-30 |
| 1255930178 | Humboldt County Memorial Hospital | Clinic/Center | 1000 15th St N Ste C, Humboldt, IA 50548-1008 | 2020-10-21 |
| 1104440809 | Regional Health Services of Howard County | Clinic/Center | 600 Busti Ave, Elma, IA 50628-8090 | 2020-05-29 |
| 1255977740 | Unitypoint Health - Marshalltown | Clinic/Center | 101 E J Ave Ste 120, Grundy Center, IA 50638-2006 | 2019-11-20 |
| 1326690082 | Unity Healthcare | Clinic/Center | 1518 Mulberry Ave Ste 201, Muscatine, IA 52761-3433 | 2019-07-12 |
| 1457825192 | Greene County Medical Center | Clinic/Center | 1000 W Lincoln Way Ste 100, Jefferson, IA 50129-1645 | 2019-01-16 |
| 1427548148 | Iowa Physicians Clinic Medical Foundation | Clinic/Center | 1518 Mulberry Ave Ste 202, Muscatine, IA 52761-3433 | 2018-05-17 |
| 1194215269 | Iowa Physicians Clinic Medical Foundation | Clinic/Center | 3426 N Port Dr Ste 200, Muscatine, IA 52761 | 2018-05-15 |
| 1659872927 | Henry County Soldiers' and Sailors' Memorial Hospital | Clinic/Center | 227 W Main St Ste 1, Wayland, IA 52654-7615 | 2018-02-22 |
| 1447778170 | Trinity Regional Medical Center | Clinic/Center | 804 Kenyon Rd Ste D, Fort Dodge, IA 50501-5744 | 2017-09-01 |
| 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.