SHENANDOAH MEDICAL CENTER (NPI# 1609862887) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1609862887 |
Entity Type | Organization |
Organization Name | SHENANDOAH MEDICAL CENTER |
Other Organization Name | ELM HEIGHTS CARE CENTER |
Practice Address |
1203 S Elm St Shenandoah IA 51601-2221 |
Mailing Address |
300 Pershing Ave Shenandoah IA 51601-2355 |
Practice Telephone | 7122464627 |
Practice Fax Number | 7122467357 |
Mailing Telephone | 7122464627 |
Mailing Fax Number | 7122467357 |
Enumeration Date | 2005-09-23 |
Last Update Date | 2016-08-04 |
Authorized Official Name | DENNIS DEWILD (ADMINISTRATOR) |
Authorized Official Telephone | 7122464627 |
Is Organization Subpart | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
N | 313M00000X | Nursing Facility/Intermediate Care Facility | 730860 | IA | Nursing & Custodial Care Facilities |
Y | 314000000X | Skilled Nursing Facility | 730860 | IA | Nursing & Custodial Care Facilities |
State | Issuer | Identifier | Type Code |
---|---|---|---|
IA | 0806505 | 05 |
Other Name | Type Code |
---|---|
ELM HEIGHTS CARE CENTER | 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 |
1558766956 | Shenandoah Medical Center | Clinic/Center | 527 Iowa Ave, Essex, IA 51638-8076 | 2014-10-28 |
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 |
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 |
1203 S ELM ST |
City | SHENANDOAH |
State | IA |
Zip Code | 51601-2221 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1629695416 | Accura Healthcare of Shenandoah | Skilled Nursing Facility | 1203 S Elm St, Shenandoah, IA 51601-2221 | 2020-06-29 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1336589969 | Jenifer Ann Deziel | Nurse Practitioner | Shenandoah Medical Center, 300 Pershing Avenue, Shenandoah, IA 51601 | 2013-06-27 |
1154621282 | Md West One, PC | Neurological Surgery | 1 Jack Foster Drive, Shenandoah, IA 51601 | 2010-10-22 |
1912119124 | Swfac Plc | Podiatrist | 813 Church St., Shenandoah, IA 51601 | 2007-05-03 |
1134246895 | David Carroll Dickson | Pedorthist | 612 W. Sheridan Avenue, Shenandoah, IA 51601 | 2007-03-26 |
1558433037 | Joseph Patrick Emge | Dentist | 301 Maple St, Suite 3, Shenandoah, IA 51601 | 2006-11-14 |
1487766309 | Scott Richard King | Obstetrics & Gynecology | 300 Pershing Avenue, Shenandoah, IA 51601 | 2006-08-31 |
1801904933 | Marvin E Belknap | Dentist | 617 West Thomas, Shenandoah, IA 51601 | 2006-08-28 |
1083687636 | Charles J Peterson Dc PC | Chiropractor | 1203 W Sheridan Ave, Shenandoah, IA 51601 | 2006-02-13 |
1467692152 | Carol A Stehlik | Nutritionist | 300 Pershing Avenue, Shenandoah, IA 51601-0382 | 2009-02-20 |
1265526248 | Nishna Productions, Inc. | Community/Behavioral Health | 902 Day St, Shenandoah, IA 51601-1106 | 2006-10-03 |
Find all providers in zip 51601 |
Taxonomy Code | 314000000X |
Grouping | Nursing & Custodial Care Facilities |
Classification | Skilled Nursing Facility |
(1) A skilled nursing facility is a facility or distinct part of an institution whose primary function is to provide medical, continuous nursing, and other health and social services to patients who are not in an acute phase of illness requiring services in a hospital, but who require primary restorative or skilled nursing services on an inpatient basis above the level of intermediate or custodial care in order to reach a degree of body functioning to permit self care in essential daily living. It meets any licensing or certification standards et forth by the jurisdiction where it is located. A skilled nursing facility may be a freestanding facility or part of a hospital that has been certified by Medicare to admit patients requiring subacute care and rehabilitation; (2) Provides non-acute medical and skilled nursing care services, therapy and social services under the supervision of a licensed registered nurse on a 24-hour basis. |
Notes: Source: (1) "Glossary of terms used in managed care" Developed by the Managed Care Assembly (MCA) of Medical Group Management Association (MGMA), MGM Journal, September/October 1995, p. 64; (2) AHA Guide, 1996 Annual Survey. |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1386872885 | Genesis | Skilled Nursing Facility | 124 Schuylkill Ave, Shenandoah, PA 17976-1337 | 2009-06-24 |
1730139460 | Trinity Mission of Shenandoah Heights, LLC | Skilled Nursing Facility | 200 Pennsylvania Ave, Shenandoah, PA 17976-1332 | 2006-05-11 |
1780664789 | Garden View Care Center, Inc. | Skilled Nursing Facility | 1200 W Nishna Rd, Shenandoah, IA 51601-2116 | 2006-01-18 |
1497757710 | Smnrc, Lp | Skilled Nursing Facility | 101 E Washington St, Shenandoah, PA 17976-1701 | 2005-06-01 |
1902404569 | Shenandoah Heights Healthcare LLC | Skilled Nursing Facility | 200 Pennsylvania Ave, Shenandoah, PA 17976-1332 | 2020-10-15 |
1629695416 | Accura Healthcare of Shenandoah | Skilled Nursing Facility | 1203 S Elm St, Shenandoah, IA 51601-2221 | 2020-06-29 |
1184080889 | Premier Estates 509, LLC | Skilled Nursing Facility | 1200 W Nishna Rd, Shenandoah, IA 51601-2116 | 2016-01-11 |
1124484241 | Ridgeview Operations LLC | Skilled Nursing Facility | 200 Pennsylvania Ave, Shenandoah, PA 17976-1332 | 2016-01-05 |
1740588094 | Ridgeview Healthcare & Rehab Center LLC | Skilled Nursing Facility | 200 Pennsylvania Ave, Shenandoah, PA 17976-1332 | 2011-03-10 |
1215264726 | Shenandoah Care Center, LLC | Skilled Nursing Facility | 1200 W Nishna Rd, Shenandoah, IA 51601-2116 | 2009-11-05 |
Find all providers in SHENANDOAH |
City | SHENANDOAH |
Zip Code | 51601 |
Please comment or provide details below to improve the information on SHENANDOAH MEDICAL CENTER.
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.