SHENANDOAH MEDICAL CENTER (NPI# 1558766956) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1558766956 |
| Entity Type | Organization |
| Organization Name | SHENANDOAH MEDICAL CENTER |
| Other Organization Name | SHENANDOAH PHYSICIANS CLINIC-ESSEX |
| Practice Address |
527 Iowa Ave Essex IA 51638-8076 |
| Mailing Address |
300 Pershing Ave Shenandoah IA 51601-2355 |
| Practice Telephone | 7123797040 |
| Practice Fax Number | 7123797042 |
| Mailing Telephone | 7122461230 |
| Mailing Fax Number | 7122467357 |
| Enumeration Date | 2014-10-28 |
| Last Update Date | 2014-10-28 |
| Authorized Official Name | KAREN S COLE (CEO) |
| Authorized Official Telephone | 7122461230 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QR1300X |
Clinic/Center Specialization: Rural Health |
730065H | IA | Ambulatory Health Care Facilities |
| Other Name | Type Code |
|---|---|
| Shenandoah Physicians Clinic-Essex | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1467841726 | Shenandoah Medical Center | Internal Medicine | 101 E Reed St, Red Oak, IA 51566 | 2015-01-09 |
| 1790840239 | Shenandoah Medical Center | Home Health | 300 Park Avenue, Shenandoah, IA 51601-2355 | 2006-12-26 |
| 1700941648 | Shenandoah Medical Center | Clinic/Center | 802 Illinois St, Sidney, IA 51652-0217 | 2006-12-22 |
| 1609862887 | Shenandoah Medical Center | Nursing Facility/Intermediate Care Facility | 1203 S Elm St, Shenandoah, IA 51601-2221 | 2005-09-23 |
| 1184621096 | Shenandoah Medical Center | General Acute Care Hospital | 300 Pershing Ave, Shenandoah, IA 51601-2355 | 2005-07-07 |
| 1508487547 | Shenandoah Medical Center | Clinic/Center | 713 Main St, Tabor, IA 51653-2031 | 2020-04-30 |
| 1174908362 | Shenandoah Medical Center | Internal Medicine | 300 Pershing Ave, Shenandoah, IA 51601-2355 | 2015-07-29 |
| 1184021602 | Shenandoah Medical Center | Hospitalist | 300 Pershing Ave, Shenandoah, IA 51601-2355 | 2014-11-26 |
| 1497150825 | Shenandoah Medical Center | Clinic/Center | 802 Illinois St, Sidney, IA 51652-8028 | 2014-10-28 |
| 1184033300 | Shenandoah Medical Center | Nurse Practitioner | 1 Jack Foster Dr, Shenandoah, IA 51601-4586 | 2014-08-13 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| System for Award Management (SAM) Entities | SHENANDOAH MEDICAL CENTER | 300 Pershing Ave, Shenandoah, IA 51601-2355 |
| Iowa Business Entities | SHENANDOAH MEDICAL CENTER | 300 Pershing Ave., Shenandoah, IA 51601 |
| Iowa Business Entities | SHENANDOAH MEDICAL CENTER FOUNDATION | 300 Pershing Ave, Shenandoah, IA 51601 |
| Street Address |
527 IOWA AVE |
| City | ESSEX |
| State | IA |
| Zip Code | 51638-8076 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1124172028 | City of Essex | Ambulance | 412 Iowa Ave., Essex, IA 51638 | 2007-01-22 |
| 1407233281 | Jeremy Burns | Physical Therapy Assistant | 101 Victory St, Essex, IA 51638-3018 | 2015-04-30 |
| 1972812121 | Essex Community School District | Local Education Agency (LEA) | 111 Forbes St, Essex, IA 51638-3055 | 2010-10-05 |
| 1811265366 | Teresa Lynn Isenhower-moyer | Physical Therapist | 310 Motley St, Essex, IA 51638-8021 | 2011-12-12 |
| 1285862078 | Ric Rasmussen | Physical Therapy Assistant | 401 Nebraska Ave, Essex, IA 51638-8025 | 2009-06-30 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1356948228 | Quinntell Lay | Behavior Technician | 1114 Tace Dr Apt 3b, Essex, MD 21221-5788 | 2020-10-05 |
| 1053926741 | Pass Maryland Inc | Peer Specialist | 64 Landmark Ct, Essex, MD 21221-3042 | 2020-09-10 |
| 1932717816 | Amy Fraser | Physician Assistant | 17 County Rd, Essex, MA 01929-1128 | 2020-07-16 |
| 1104434083 | Takesha Franklin | Registered Nurse | 1248 S Marlyn Ave, Essex, MD 21221-5950 | 2020-07-16 |
| 1770101495 | Sharlimar Denise Jefferson | Behavior Technician | 51 Marice Cir, Essex, MD 21221-5814 | 2020-07-09 |
| 1699390153 | Kimberly A Austin | Behavioral Analyst | 2 Cloverwood Ct Unit 302, Essex, MD 21221-7366 | 2020-06-10 |
| 1972126340 | Anna Rich | Counselor | 4 Eastern Ave, Essex, MA 01929-1306 | 2020-05-20 |
| 1760004261 | So Md Mobile Phlebotomy Services | Technician, Pathology | 943 Walnut Grove Rd, Essex, MD 21221-5906 | 2020-05-07 |
| 1013544642 | Kathleen A Quill | Behavioral Analyst | 3 Essex Reach Rd, Essex, MA 01929-1448 | 2020-03-24 |
| 1457988321 | Amy Bliss Tenney | Music Therapist | 816 Cedar Ave, Essex, MD 21221-6002 | 2020-03-23 |
| Find all providers in ESSEX | ||||
| Taxonomy Code | 261QR1300X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Rural Health |
| Definition to come... |
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|---|---|---|---|---|
| 1346246410 | Sikeston Urgent Care, PC | Clinic/Center | 201 North Cypress, Essex, MO 63846 | 2005-06-23 |
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|---|---|---|---|---|
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| 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.