PELLA REGIONAL HEALTH CENTER (NPI# 1619030988) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1619030988 |
| Entity Type | Organization |
| Organization Name | PELLA REGIONAL HEALTH CENTER |
| Other Organization Name | HILLTOP MANOR |
| Practice Address |
408 Jefferson St Pella IA 50219-1257 |
| Practice Telephone | 6416281381 |
| Practice Fax Number | 6416289067 |
| Mailing Telephone | 6416281381 |
| Mailing Fax Number | 6416289067 |
| Enumeration Date | 2006-12-18 |
| Last Update Date | 2008-06-19 |
| Authorized Official Name | ROBERT D. KROESE (CHIEF EXECUTIVE OFFICER) |
| Authorized Official Telephone | 6416286604 |
| Is Organization Subpart | Y |
| Parent Organization Name | PELLA REGIONAL HEALTH CENTER |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 320700000X | Residential Treatment Facility, Physical Disabilities | Residential Treatment Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| IA | 0896456 | 05 |
| Other Name | Type Code |
|---|---|
| Hilltop Manor | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1053924449 | Pella Regional Health Center | Clinic/Center | 404 S Commerce, Prairie City, IA 50228-8560 | 2020-08-26 |
| 1952773921 | Pella Regional Health Center | Clinic/Center | 611 N Hancock St, Ottumwa, IA 52501-4233 | 2015-10-29 |
| 1447294608 | Pella Regional Health Center | Clinic/Center | 100 East Sherman Street, Monroe, IA 50170 | 2006-06-16 |
| 1104860808 | Pella Regional Health Center | Clinic/Center | 704 3rd St, Sully, IA 50251-1016 | 2006-06-15 |
| 1245712942 | Pella Regional Health Center | Family Medicine | 100 E Jefferson St, Prairie City, IA 50228-7709 | 2018-08-30 |
| 1154709327 | Pella Regional Health Center | Clinical Medical Laboratory | 404 Jefferson St, Pella, IA 50219-1257 | 2015-05-08 |
| 1932599404 | Pella Regional Health Center | Pharmacy | 802 Washington St, Pella, IA 50219-1525 | 2015-02-04 |
| 1851722128 | Pella Regional Health Center | Family Medicine | 1210 E Vermeer Rd, Pella, IA 50219-7660 | 2013-12-11 |
| 1508101221 | Pella Regional Health Center | Clinic/Center | 920 N Quincy Ave, Ottumwa, IA 52501-3866 | 2012-12-06 |
| 1386794634 | Pella Regional Health Center | Non-Pharmacy Dispensing Site | 404 Jefferson St, Pella, IA 50219-1257 | 2007-01-11 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| System for Award Management (SAM) Entities | PELLA REGIONAL HEALTH CENTER | 404 Jefferson St, Pella, IA 50219-1257 |
| Street Address |
408 JEFFERSON ST |
| City | PELLA |
| State | IA |
| Zip Code | 50219-1257 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1366967101 | Emily Rachel Dine | Specialist/Technologist | 812 University, Pella, IA 50219 | 2017-08-12 |
| 1588105597 | Brett Boddicker | Student in an Organized Health Care Education/Training Program | 812 University Street, Pella, IA 50219 | 2017-03-10 |
| 1053780098 | Jeremy Richard Dolder | Specialist/Technologist | 812 University St., Pella, IA 50219 | 2015-09-21 |
| 1588921084 | Michael Gary Walsh | Psychiatry & Neurology | 710 W 1st St, Pella, IA 50219 | 2012-04-20 |
| 1063788602 | Multicultural International Counseling Enterprises, Inc. | Psychologist | 311 Franklin Street, Pella, IA 50219 | 2012-03-28 |
| 1568798056 | Megan Lee Nelson | Physical Therapist | 405 Monroe Street, Pella, IA 50219 | 2009-10-19 |
| 1578783247 | Suzanne Vonseggern | Pharmacist | 1610 Vemeer Rd, East Plant 3, Pella, IA 50219 | 2007-04-26 |
| 1669513057 | Heather Renee Pilcher | Physical Therapy Assistant | 308 Se 9th St., Pella, IA 50219 | 2007-02-09 |
| 1164578134 | Walgreen Co. | Pharmacy | 1610 Vermeer Road East, Plant 3 1/2, Pella, IA 50219 | 2007-01-25 |
| 1841373289 | Jeffrey Frank Allen | Dentist | 839 Broadway, Pella, IA 50219 | 2006-10-21 |
| Find all providers in zip 50219 | ||||
| Taxonomy Code | 320700000X |
| Grouping | Residential Treatment Facilities |
| Classification | Residential Treatment Facility, Physical Disabilities |
| A residential facility that provides habilitation services and other care and treatment to adults or children diagnosed with developmental disabilities and/or mental retardation and are not able to live independently. |
| Notes: [7/1/2003: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1134648561 | Neuro Rehabcare of Waterloo LLC | Residential Treatment Facility, Physical Disabilities | 35 Rachael St, Waterloo, IA 50701-5124 | 2017-09-18 |
| 1417322728 | Good Samaritan Society | Residential Treatment Facility, Physical Disabilities | 721 S Kiel St, Holstein, IA 51025-5041 | 2015-12-11 |
| 1235258658 | Chariton Group Home Develop Corp | Residential Treatment Facility, Physical Disabilities | 1221 Brookdale Ave, Chariton, IA 50049-1531 | 2007-03-28 |
| 1366589004 | Brees Rest Home Inc | Residential Treatment Facility, Physical Disabilities | 210 Washington Ave E, Albia, IA 52531 | 2007-01-31 |
| 1194999094 | Iowa School for The Deaf | Residential Treatment Facility, Physical Disabilities | 3501 Harry Langdon Blvd, Council Bluffs, IA 51503-7837 | 2008-04-22 |
Please comment or provide details below to improve the information on PELLA REGIONAL HEALTH 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.