WASHINGTON COUNTY HOSPITAL (NPI# 1669802955) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1669802955 |
Entity Type | Organization |
Organization Name | WASHINGTON COUNTY HOSPITAL |
Other Organization Name | WASHINGTON COUNTY HOSPITAL AND CLINICS FAMILY MEDICINE |
Practice Address |
1230 S Iowa Ave Washington IA 52353-1144 |
Mailing Address |
Po Box 909 1230 S. Iowa Avenue Washington IA 52353-0909 |
Practice Telephone | 3196537291 |
Mailing Telephone | 3196537291 |
Enumeration Date | 2013-11-22 |
Last Update Date | 2020-01-08 |
Authorized Official Name | MR. TODD PATTERSON (CEO) |
Authorized Official Telephone | 3198633901 |
Is Organization Subpart | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
N | 207Q00000X | Family Medicine | Allopathic & Osteopathic Physicians | ||
Y | 261QR1300X |
Clinic/Center Specialization: Rural Health |
Ambulatory Health Care Facilities |
State | Issuer | Identifier | Type Code |
---|---|---|---|
IA | MEDICARE PTAN | 16-8567 | 01 |
IA | CLIA | 16D0386746 | 01 |
Other Name | Type Code |
---|---|
Washington County Hospital and Clinics Family Medicine | Doing Business As Name - Organization |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1821279019 | Washington County Hospital | General Acute Care Hospital | 251 E. Antietam St, Hagerstown, MD 21740 | 2007-11-16 |
1538373717 | Washington County Hospital | Medicare Defined Swing Bed Unit | 400 East Polk Street, Washington, IA 52353 | 2007-05-09 |
1871509661 | Washington County Hospital | General Acute Care Hospital | 400 West 7 Th Street, Frederick, MD 21701-5724 | 2006-07-31 |
1962403584 | Washington County Hospital | General Acute Care Hospital | 304 E 3rd St, Washington, KS 66968-2098 | 2005-08-04 |
1326402355 | Washington County Hospital | Psychiatry & Neurology | 400 E Polk St, Washington, IA 52353-1237 | 2016-04-06 |
1659746949 | Washington County Hospital | Pharmacy | 222 S Iowa Ave, Washington, IA 52353-1736 | 2015-12-11 |
1598134090 | Washington County Hospital | Nurse Practitioner | 207 1st St, Suite 4, Kalona, IA 52247-9729 | 2015-09-15 |
1790172377 | Washington County Hospital | Clinic/Center | 302 E 2nd St, Washington, KS 66968-2029 | 2015-04-21 |
1699167866 | Washington County Hospital | Clinic/Center | 444 E Polk St, Washington, IA 52353-1237 | 2015-02-25 |
1609120153 | Washington County Hospital | Pharmacy | 222 S Iowa Ave, Washington, IA 52353-1736 | 2012-11-06 |
Entity Type | Entity Name | Entity Address |
---|---|---|
System for Award Management (SAM) Entities | WASHINGTON COUNTY HOSPITAL | 14600 St Stephens Ave, Chatom, AL 36518-6711 |
System for Award Management (SAM) Entities | WASHINGTON COUNTY HOSPITAL DISTRICT #1 | 205 S Hanover St, Hanover, KS 66945-8924 |
Street Address |
1230 S IOWA AVE |
City | WASHINGTON |
State | IA |
Zip Code | 52353-1144 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1659364776 | Amanda C Kleese | Nurse Practitioner | 1230 S Iowa Ave, Washington, IA 52353-1144 | 2005-08-24 |
1770725202 | Trevor R. Martin | Family Medicine | 1230 S Iowa Ave, Washington, IA 52353-1144 | 2009-03-30 |
1235159716 | George David Nacos | Family Medicine | 1230 S Iowa Ave, Washington, IA 52353-1144 | 2006-07-20 |
1184663684 | Matthew John Prihoda | Family Medicine | 1230 S Iowa Ave, Washington, IA 52353-1144 | 2006-06-06 |
1902863558 | Debbie L Gibbs | Family Medicine | 1230 S Iowa Ave, Washington, IA 52353-1144 | 2006-04-27 |
1114981396 | Ryan Andrew Flannery | Family Medicine | 1230 S Iowa Ave, Washington, IA 52353-1144 | 2006-04-14 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1386282994 | United Presbyterian Home | Occupational Therapy Assistant | 31 Maple Lane, Washington, IA 52353 | 2019-12-13 |
1306001110 | Dental Care By The Square | Point of Service | 1051 West Madison Street, Washington, IA 52353 | 2008-07-21 |
1174727242 | Washington County Mini Bus Inc | Bus | 1010 W 5th, Washington, IA 52353 | 2007-06-13 |
1538373717 | Washington County Hospital | Medicare Defined Swing Bed Unit | 400 East Polk Street, Washington, IA 52353 | 2007-05-09 |
1194946459 | James Lewis Vanwinkle | Pharmacist | 400 E Polk, Washington, IA 52353 | 2007-05-02 |
1780701094 | Kim D Malichky | Pharmacist | 528 S Hwy #1, Washington, IA 52353 | 2007-03-23 |
1154736916 | Kelsey Renee Bayliss | Pharmacist | 222 S Iowa Ave, Washington, IA 52353 | 2014-06-30 |
1386914828 | Michael C Mcgowan | Nurse Anesthetist, Certified Registered | 400 E Polk St, Washington, IA 52353 | 2011-12-30 |
1689896532 | Todd Lynn Salow | Chiropractor | 112 E Washington St, Washington, IA 52353 | 2007-05-02 |
1285696906 | Family Counseling Services LLC | Social Worker | 110 N Iowa Ave, Suite 510, Washington, IA 52353 | 2006-04-06 |
Find all providers in zip 52353 |
Taxonomy Code | 261QR1300X |
Grouping | Ambulatory Health Care Facilities |
Classification | Clinic/Center |
Specialization | Rural Health |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1366847337 | Dixon Family Medical Center, LLC | Clinic/Center | 536 St. Landry Veterans Memorial Hwy., Washington, LA 70589-4420 | 2014-11-03 |
1023340965 | Daviess County Hospital | Clinic/Center | 1805 S State Road 57, Washington, IN 47501-4326 | 2010-02-03 |
1801428875 | Opelousas General Hospital Authority | Clinic/Center | 6633 Highway 10, Washington, LA 70589-4313 | 2020-02-07 |
1639552995 | Page Memorial Hospital Inc. | Clinic/Center | 12699 Lee Hwy, Washington, VA 22747 | 2015-07-06 |
1699167866 | Washington County Hospital | Clinic/Center | 444 E Polk St, Washington, IA 52353-1237 | 2015-02-25 |
1932598018 | Good Samaritan Hospital Physician Services, Inc | Clinic/Center | 2005 State St, Suite A, Washington, IN 47501-8558 | 2015-01-13 |
1457607046 | G Rex Stroud Jr Md PC | Clinic/Center | 201 E Main St, Washington, IN 47501-2970 | 2012-08-01 |
1598058414 | Little Company of Mary Hospital of Indiana Inc | Clinic/Center | 2005 State St, Suite A, Washington, IN 47501-8558 | 2011-05-25 |
1023332970 | Hospital Authority of Wilkes County | Clinic/Center | 212 Hospital Dr, Washington, GA 30673-5619 | 2010-03-22 |
1356468631 | Daviess County Hospital | Clinic/Center | 1402 Grand Ave, Washington, IN 47501-2122 | 2007-03-23 |
Find all providers in WASHINGTON |
City | WASHINGTON |
Zip Code | 52353 |
Please comment or provide details below to improve the information on WASHINGTON COUNTY HOSPITAL.
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.