JACKSON COUNTY PUBLIC HOSPITAL (NPI# 1689705949) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1689705949 |
| Entity Type | Organization |
| Organization Name | JACKSON COUNTY PUBLIC HOSPITAL |
| Practice Address |
700 W Grove St Maquoketa IA 52060-2163 |
| Practice Telephone | 5636522474 |
| Practice Fax Number | 5636524096 |
| Mailing Telephone | 5636522474 |
| Mailing Fax Number | 5636524096 |
| Enumeration Date | 2007-03-08 |
| Last Update Date | 2007-12-03 |
| Authorized Official Name | CURT COLEMAN (CEO) |
| Authorized Official Telephone | 5636522474 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207PE0004X |
Emergency Medicine Specialization: Emergency Medical Services |
490099H | IA | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| IA | 0119263 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1639133028 | Jackson County Public Hospital | Home Health | 700 W Grove St, Maquoketa, IA 52060-2163 | 2006-04-13 |
| 1164486551 | Jackson County Public Hospital | Skilled Nursing Facility | 700 W Grove St, Maquoketa, IA 52060-2163 | 2006-04-13 |
| 1316901606 | Jackson County Public Hospital | Clinic/Center | 700 W Grove St, Maquoketa, IA 52060-2163 | 2006-04-13 |
| 1326002643 | Jackson County Public Hospital | Medicare Defined Swing Bed Unit | 700 W Grove St, Maquoketa, IA 52060-2163 | 2006-04-13 |
| 1588628804 | Jackson County Public Hospital | Durable Medical Equipment & Medical Supplies | 700 W Grove St, Maquoketa, IA 52060-2163 | 2006-04-13 |
| 1912960758 | Jackson County Public Hospital | General Acute Care Hospital | 700 W Grove St, Maquoketa, IA 52060-2163 | 2006-04-11 |
| Street Address |
700 W GROVE ST |
| City | MAQUOKETA |
| State | IA |
| Zip Code | 52060-2163 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1417468257 | Shelby Lynn Shedenhelm | Speech-Language Pathologist | 700 W Grove St, Maquoketa, IA 52060-2163 | 2017-10-19 |
| 1275076184 | Carrington Giddings | Occupational Therapist | 700 W Grove St, Maquoketa, IA 52060-2163 | 2016-11-25 |
| 1003276478 | Fresenius Medical Care Quad Cities, LLC | Clinic/Center | 700 W Grove St, Maquoketa, IA 52060-2163 | 2016-02-29 |
| 1013267491 | Shawn Michael Murphy | Physical Medicine & Rehabilitation | 700 W Grove St, Maquoketa, IA 52060-2163 | 2012-09-13 |
| 1063769669 | Joseph Ryan Garrison | Physical Medicine & Rehabilitation | 700 W Grove St, Maquoketa, IA 52060-2163 | 2012-08-14 |
| 1053678292 | Sloan Elizabeth Dow | Physical Therapist | 700 W Grove St, Maquoketa, IA 52060-2163 | 2012-04-12 |
| 1265768451 | Maquoketa Kidney Center, LLC | Clinic/Center | 700 W Grove St, Maquoketa, IA 52060-2163 | 2009-10-23 |
| 1932308525 | Mary Anne Baker | Physical Medicine & Rehabilitation | 700 W Grove St, Maquoketa, IA 52060-2163 | 2007-07-13 |
| 1639377021 | Katherine L Hurst | Family Medicine | 700 W Grove St, Maquoketa, IA 52060-2163 | 2007-07-06 |
| 1629156096 | Richard Kindle Smith | Nurse Anesthetist, Certified Registered | 700 W Grove St, Maquoketa, IA 52060-2163 | 2006-11-01 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1396222709 | Megan Elizabeth Vance | Counselor | 119 S Main St Ste 2, Maquoketa, IA 52060 | 2018-07-27 |
| 1750476669 | Joseph A Lechtenberg Jr. | Dentist | 129 W Pleasant St, Maquoketa, IA 52060 | 2006-10-04 |
| 1629018650 | Abby Lee Gehl | Dentist | 119 South Main Ste 1, Maquoketa, IA 52060 | 2006-06-07 |
| 1528015328 | Smiles On Main | Dentist | 119 South Main, Ste 1, Maquoketa, IA 52060 | 2006-05-27 |
| 1396794178 | Mary Virginia Schwartz | Counselor | 714 W Platt, Maquoketa, IA 52060 | 2006-05-09 |
| 1255392122 | David Scott Sybesma | Optometrist | 1408 43rd Street, Maquoketa, IA 52060 | 2006-03-30 |
| 1730669433 | Eyewear Gallery | Optometrist | 101 N Main St, Maquoketa, IA 52060 | 2018-08-21 |
| 1720579790 | Heinrich Chiropractic Pllc | Chiropractor | 620 S Main St, Maquoketa, IA 52060 | 2018-05-24 |
| 1598817173 | Clyde Daniel Overturff | Dentist | 204 N Arcade St, Maquoketa, IA 52060 | 2007-01-17 |
| 1275573206 | Salvador D Atienza | Dentist | 119 South Main, Ste 1, Maquoketa, IA 52060 | 2006-06-07 |
| Find all providers in zip 52060 | ||||
| Taxonomy Code | 207PE0004X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Emergency Medicine |
| Specialization | Emergency Medical Services |
| An emergency medicine physician who specializes in non-hospital based emergency medical services (e.g., disaster site, accident scene, transport vehicle, etc.) to provide pre-hospital assessment, treatment, and transport patients. |
| Notes: Source: National Uniform Claim Committee, 2009 [1/1/2010: definition added, source added] Additional Resources: A Certification of Added Qualifications (CAQ) is issued by the American Osteopathic Board of Emergency Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1538140405 | Thomas Joseph Kafka | Emergency Medicine | Regional Medical Center, 709 West Main St., Manchester, IA 52057 | 2005-11-08 |
| 1477543668 | Michael M Rosenblatt | Emergency Medicine | 1605 Haskell St, Burlington, IA 52601-1406 | 2005-10-27 |
| 1972098150 | Amanda Sieve | Emergency Medicine | 1200 Pleasant St, Des Moines, IA 50309-1406 | 2018-06-29 |
| 1508374927 | Kari Lynn Tessum | Emergency Medicine | 802 Kenyon Rd, Fort Dodge, IA 50501-5740 | 2018-01-19 |
| 1629312723 | Ottumwa Er LLC | Emergency Medicine | 1001 Pennsylvania Ave, Ottumwa, IA 52501-6427 | 2012-11-15 |
| 1902162191 | Sarah Wolf Field | Emergency Medicine | 500 E Market St, Iowa City, IA 52245 | 2012-04-02 |
| 1235422056 | Brian Michael Kuchay | Emergency Medicine | 621 S Illinois Ave, Mason City, IA 50401-5405 | 2011-05-26 |
| 1497953350 | Heather Noel Stein Poskevich | Emergency Medicine | 1111 6th Ave, Des Moines, IA 50314-2613 | 2007-07-03 |
| 1164593109 | Buena Vista Regional Medical Center | Emergency Medicine | 1525 W 5th St, Storm Lake, IA 50588-3027 | 2006-11-13 |
| 1326073669 | Delaware County Memorial Hospital | Emergency Medicine | 709 W Main St, Manchester, IA 52057-1526 | 2006-07-12 |
| Find all providers with the same taxonomy | ||||
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| 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.