GREAT RIVER MEDICAL CENTER (NPI# 1598744476) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1598744476 |
Entity Type | Organization |
Organization Name | GREAT RIVER MEDICAL CENTER |
Practice Address |
1221 S Gear Ave West Burlington IA 52655-1679 |
Practice Telephone | 3197683628 |
Enumeration Date | 2006-01-10 |
Last Update Date | 2018-10-01 |
Authorized Official Name | MATTHEW WENZEL (PRESIDENT/CEO) |
Authorized Official Telephone | 3197683260 |
Is Organization Subpart | Y |
Parent Organization Name | GREAT RIVER MEDICAL CENTER |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 332U00000X | Home Delivered Meals | Suppliers |
State | Issuer | Identifier | Type Code |
---|---|---|---|
IA | 0111971 | 05 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1265411144 | Great River Medical Center | Nursing Facility/Intermediate Care Facility | 1307 S Gear Ave, West Burlington, IA 52655-1604 | 2006-01-10 |
1053315002 | Great River Medical Center | Hospice Care, Community Based | 1306 S Washington Rd, West Burlington, IA 52655-1703 | 2005-06-08 |
1811068646 | Great River Medical Center | General Acute Care Hospital | 1520 N Division St, Blytheville, AR 72315-1448 | 2006-11-13 |
1164433884 | Great River Medical Center | Emergency Medical Technician, Basic | 1221 S Gear Ave, West Burlington, IA 52655-1679 | 2006-08-10 |
1134168263 | Great River Medical Center | General Acute Care Hospital | 1221 S Gear Ave, West Burlington, IA 52655-1679 | 2006-06-05 |
1760461644 | Great River Medical Center | Home Health | 1306 S Washington Rd, West Burlington, IA 52655-1703 | 2006-01-10 |
1639158595 | Great River Medical Center | Rehabilitation Unit | 1221 S Gear Ave, West Burlington, IA 52655-1679 | 2006-01-10 |
1386623262 | Great River Medical Center | Nursing Facility/Intermediate Care Facility | 1307 S Gear Ave, West Burlington, IA 52655-1604 | 2006-01-10 |
Entity Type | Entity Name | Entity Address |
---|---|---|
Iowa Business Entities | GREAT RIVER MEDICAL CENTER | 1221 S. Gear Ave, West Burlington, IA 52655 |
Iowa Business Entities | GREAT RIVER MEDICAL CENTER STAFF FOUNDATION | 200 Jefferson Street, Burlington, IA 52601 |
Street Address |
1221 S GEAR AVE |
City | WEST BURLINGTON |
State | IA |
Zip Code | 52655-1679 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1013536820 | Sean R West | Physical Therapist | 1221 S Gear Ave, West Burlington, IA 52655-1679 | 2020-04-11 |
1316566268 | Debra Lynn Herrick | Speech-Language Pathologist | 1221 S Gear Ave, West Burlington, IA 52655-1679 | 2020-04-10 |
1356980031 | Justine Link | Nurse Practitioner | 1221 S Gear Ave, West Burlington, IA 52655-1679 | 2019-12-30 |
1841838638 | Julie Ann Snavely | Occupational Therapist | 1221 S Gear Ave, West Burlington, IA 52655-1679 | 2019-12-12 |
1033757828 | Jill Ann Nealey | Occupational Therapist | 1221 S Gear Ave, West Burlington, IA 52655-1679 | 2019-12-12 |
1861049454 | Jennifer L Hellman | Occupational Therapist | 1221 S Gear Ave, West Burlington, IA 52655-1679 | 2019-08-20 |
1659841690 | Andrew Robert Klein | Physician Assistant | 1221 S Gear Ave, West Burlington, IA 52655-1679 | 2018-12-03 |
1013498120 | Seth Olson | Physical Therapist | 1221 S Gear Ave, West Burlington, IA 52655-1679 | 2018-08-27 |
1447730882 | Carmen Johnson | Physical Therapist | 1221 S Gear Ave, West Burlington, IA 52655-1679 | 2018-08-15 |
1164918330 | Adam Mcmann | Registered Nurse | 1221 S Gear Ave, West Burlington, IA 52655 | 2018-07-10 |
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NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1679920045 | Breanne Vogel | Nurse Practitioner | 1225 South Gear Avenue, Suite 159, Great River Family Practice Clinic, West Burlington, IA 52655 | 2016-05-16 |
1639538010 | Kala Haisch | Nurse Practitioner | 1225 S. Gear Ave., Mercy Plaza, Suite 251, West Burlington, IA 52655 | 2016-02-15 |
1326305830 | Ryan Deets | Surgery | 1223 S Gear Ave Ste 202, West Burlington, IA 52655 | 2012-04-20 |
1912100173 | Jennifer Yancey | Dietitian, Registered | Great River Medical Center Center for Rehabilitation, 1401 W. Agency Rd., West Burlington, IA 52655 | 2007-06-06 |
1043348196 | Wilson Hearing Aids & Services Inc | Hearing Instrument Specialist | 313 E Agency Rd, West Burlington, IA 52655 | 2007-03-01 |
1730286204 | Eric A Hanks | Chiropractor | 433 E Mt Pleasant St, West Burlington, IA 52655 | 2006-09-19 |
1093825176 | Michael Steven Mathews | Dentist | 409 Layne Dr, West Burlington, IA 52655 | 2006-08-30 |
1952383259 | Craig Huston | Emergency Medical Technician, Basic | 1221d S Gear Ave, West Burlington, IA 52655 | 2005-11-14 |
1932101466 | Theron Jameson | Specialist | 1225 S Gear Ave, Ste 159, West Burlington, IA 52655 | 2005-08-15 |
1255339750 | Community Health Centers of Southeastern Iowa Inc | Internal Medicine | 1706 West Agency Road, West Burlington, IA 52655 | 2005-07-08 |
Find all providers in zip 52655 |
Taxonomy Code | 332U00000X |
Grouping | Suppliers |
Classification | Home Delivered Meals |
Home-delivered meals are those services or activities designed to prepare and deliver one or more meals a day to an individual's residence in order to prevent institutionalization, malnutrition, and feelings of isolation. Component services or activities may include the cost of personnel, equipment, and food; assessment of nutritional and dietary needs; nutritional education and counseling; socialization services; and information and referral. |
Notes: Source: Code of Federal Regulations #45, Part 96, Appendix A, Uniform Definition of Services. |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1619145919 | City of Central City | Home Delivered Meals | 137 4th St N, Suite 3, Central City, IA 52214-9596 | 2008-02-20 |
1346432390 | Washington Community | Home Delivered Meals | 121 E Main, Washington, IA 52353-2092 | 2007-08-14 |
1659561819 | Jasper County Elderly Nutrition | Home Delivered Meals | 2401 1st Ave E # Stavee, Newton, IA 50208-4252 | 2007-07-25 |
1265638225 | Warren County | Home Delivered Meals | 301 N Buxton St Ste 202, Indianola, IA 50125-1801 | 2007-06-26 |
1235332123 | Lunchtime Solutions, Inc. | Home Delivered Meals | 3100 West Fourth Street, Sioux City, IA 51103-0100 | 2007-06-07 |
1609077916 | Oakleaf Property Management | Home Delivered Meals | 1309 Nebraska St, Sioux City, IA 51105-1416 | 2007-05-31 |
1093834020 | Purfoods LLC Dba Mom's Meals | Home Delivered Meals | 3210 Se Corporate Woods Dr, Ankeny, IA 50021-2502 | 2007-03-29 |
1669528691 | Northwest Aging Association | Home Delivered Meals | 714 10th Ave E, Spencer, IA 51301-4708 | 2007-01-25 |
1164487872 | Area Xiv Agency On Aging | Home Delivered Meals | 215 Montgomery St, Creston, IA 50801 | 2006-04-18 |
1508839325 | M & D Hamm Inc | Home Delivered Meals | 702 Blake St, Sioux Rapids, IA 50585-1121 | 2006-02-10 |
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City | WEST BURLINGTON |
Zip Code | 52655 |
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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.