GREAT RIVER MEDICAL CENTER


Address: 1221 S Gear Ave, West Burlington, IA 52655-1679
Phone: 3197683628

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).

Provider Overview

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

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 332U00000X Home Delivered Meals Suppliers

Other Provider Identifier

State Issuer Identifier Type Code
IA 0111971 05

Other Provider IDs and Locations

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

Other Data Sources

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

Office Location

Street Address 1221 S GEAR AVE
City WEST BURLINGTON
State IA
Zip Code 52655-1679

Providers in the same location

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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Providers in the same zip code

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
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Taxonomy Information

Taxonomy Code 332U00000X
Grouping Suppliers
Classification Home Delivered Meals

Taxonomy Definition

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.

Providers in the same taxonomy and state

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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Competitor

Search similar providers

City WEST BURLINGTON
Zip Code 52655

Improve Information

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Dataset Information

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.

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