SHENANDOAH MEDICAL CENTER


Address: 1203 S Elm St, Shenandoah, IA 51601-2221
Phone: 7122464627

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).

Provider Overview

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

Taxonomy

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

Other Provider Identifier

State Issuer Identifier Type Code
IA 0806505 05

Other Provider/Organization Names

Other Name Type Code
ELM HEIGHTS CARE CENTER Doing Business As Name - Organization

Other Provider IDs and Locations

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

Other Data Sources

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

Office Location

Street Address 1203 S ELM ST
City SHENANDOAH
State IA
Zip Code 51601-2221

Providers in the same location

NPI Name Taxonomy Address Enumeration
1629695416 Accura Healthcare of Shenandoah Skilled Nursing Facility 1203 S Elm St, Shenandoah, IA 51601-2221 2020-06-29

Providers in the same zip code

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
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Taxonomy Information

Taxonomy Code 314000000X
Grouping Nursing & Custodial Care Facilities
Classification Skilled Nursing Facility

Taxonomy Definition

(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.

Providers in the same taxonomy and city

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

Competitor

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City SHENANDOAH
Zip Code 51601

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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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