SHENANDOAH MEDICAL CENTER (NPI# 1700941648) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1700941648 |
| Entity Type | Organization |
| Organization Name | SHENANDOAH MEDICAL CENTER |
| Other Organization Name | SHENANDOAH PHYSICIANS CLINIC |
| Practice Address |
802 Illinois St Sidney IA 51652-0217 |
| Mailing Address |
802 Illinois Street Sidney IA 51652-0217 |
| Practice Telephone | 7123746005 |
| Practice Fax Number | 7123742301 |
| Mailing Telephone | 7123746005 |
| Mailing Fax Number | 7123743100 |
| Enumeration Date | 2006-12-22 |
| Last Update Date | 2012-10-25 |
| Authorized Official Name | KAREN COLE (CEO) |
| Authorized Official Telephone | 7122461230 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QR1300X |
Clinic/Center Specialization: Rural Health |
730065H | IA | Ambulatory Health Care Facilities |
| Other Name | Type Code |
|---|---|
| Shenandoah Physicians Clinic | 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 |
| 1609862887 | Shenandoah Medical Center | Nursing Facility/Intermediate Care Facility | 1203 S Elm St, Shenandoah, IA 51601-2221 | 2005-09-23 |
| 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 |
802 ILLINOIS ST |
| City | SIDNEY |
| State | IA |
| Zip Code | 51652-0217 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1497150825 | Shenandoah Medical Center | Clinic/Center | 802 Illinois St, Sidney, IA 51652-8028 | 2014-10-28 |
| 1356690887 | Melissa Spencer Marshall | Nurse Practitioner | 802 Illinois St, Sidney, IA 51652 | 2012-08-30 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1992906366 | Faith In Action Volunteers, Inc. | Taxi | 1003 Indiana St., Sidney, IA 51652 | 2007-05-31 |
| 1972643914 | Consultant Pharmacists Inc | Durable Medical Equipment & Medical Supplies | 714 Illinois Street, Sidney, IA 51652 | 2007-02-07 |
| 1265582589 | Fremont County Community Services | Case Manager/Care Coordinator | 414 Clay, Sidney, IA 51652 | 2007-01-11 |
| 1801964739 | David M Dettman | Dentist | 804 Illinois Street, Sidney, IA 51652 | 2006-11-30 |
| 1659395275 | Sidney Csd | Local Education Agency (LEA) | 2754 Knox Rd, Sidney, IA 51652 | 2006-07-27 |
| 1871566265 | Medical Clinic P.C. | Family Medicine | 313 Main St, Sidney, IA 51652 | 2006-02-08 |
| 1891137436 | Americare Support Services | Assisted Living Facility | 2009 320th Ave, Sidney, IA 51652-6059 | 2013-07-24 |
| 1427570902 | Katrina Marie-ybay Lerette | Occupational Therapist | 115 Main St, Sidney, IA 51652-6069 | 2017-07-17 |
| 1902811276 | The Ambassador Sidney, Inc. | Occupational Therapist | 115 Main St, Sidney, IA 51652-6069 | 2006-07-29 |
| 1538360151 | Morse Enterprises Inc | Custodial Care Facility | 2876 230th St, Sidney, IA 51652-6086 | 2007-05-30 |
| Find all providers in zip 51652 | ||||
| Taxonomy Code | 261QR1300X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Rural Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1497150825 | Shenandoah Medical Center | Clinic/Center | 802 Illinois St, Sidney, IA 51652-8028 | 2014-10-28 |
| 1437421229 | Cheyenne County Hospital Association Inc | Clinic/Center | 1000 Pole Creek Xing, Ste 1, Sidney, NE 69162-2902 | 2012-02-08 |
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|---|---|---|---|---|
| 1881294536 | Jefferson County Hospital | Clinic/Center | 107 W Harrison St, Richland, IA 52585-9549 | 2020-10-30 |
| 1255930178 | Humboldt County Memorial Hospital | Clinic/Center | 1000 15th St N Ste C, Humboldt, IA 50548-1008 | 2020-10-21 |
| 1104440809 | Regional Health Services of Howard County | Clinic/Center | 600 Busti Ave, Elma, IA 50628-8090 | 2020-05-29 |
| 1255977740 | Unitypoint Health - Marshalltown | Clinic/Center | 101 E J Ave Ste 120, Grundy Center, IA 50638-2006 | 2019-11-20 |
| 1326690082 | Unity Healthcare | Clinic/Center | 1518 Mulberry Ave Ste 201, Muscatine, IA 52761-3433 | 2019-07-12 |
| 1457825192 | Greene County Medical Center | Clinic/Center | 1000 W Lincoln Way Ste 100, Jefferson, IA 50129-1645 | 2019-01-16 |
| 1427548148 | Iowa Physicians Clinic Medical Foundation | Clinic/Center | 1518 Mulberry Ave Ste 202, Muscatine, IA 52761-3433 | 2018-05-17 |
| 1194215269 | Iowa Physicians Clinic Medical Foundation | Clinic/Center | 3426 N Port Dr Ste 200, Muscatine, IA 52761 | 2018-05-15 |
| 1659872927 | Henry County Soldiers' and Sailors' Memorial Hospital | Clinic/Center | 227 W Main St Ste 1, Wayland, IA 52654-7615 | 2018-02-22 |
| 1447778170 | Trinity Regional Medical Center | Clinic/Center | 804 Kenyon Rd Ste D, Fort Dodge, IA 50501-5744 | 2017-09-01 |
| 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.