STEWART MEMORIAL COMMUNITY HOSPITAL (NPI# 1740321652) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1740321652 |
| Entity Type | Organization |
| Organization Name | STEWART MEMORIAL COMMUNITY HOSPITAL |
| Practice Address |
1301 W Main St Lake City IA 51449-1585 |
| Mailing Address |
Po Box 114 Lake City IA 51449-0114 |
| Practice Telephone | 7124643171 |
| Practice Fax Number | 7124643269 |
| Mailing Telephone | 7124643171 |
| Mailing Fax Number | 7124643269 |
| Enumeration Date | 2007-02-12 |
| Last Update Date | 2014-11-11 |
| Authorized Official Name | JAMES L HENKENIUS (CFO) |
| Authorized Official Telephone | 7124644200 |
| Is Organization Subpart | Y |
| Parent Organization Name | STEWART MEMORIAL COMMUNITY HOSPITAL |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 363L00000X | Nurse Practitioner | Physician Assistants & Advanced Practice Nursing Providers | ||
| Y | 207P00000X | Emergency Medicine | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| IA | 0097428 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1518943083 | Stewart Memorial Community Hospital | Pharmacy | 1321 W Main St, Lake City, IA 51449-1585 | 2005-12-16 |
| 1184609927 | Stewart Memorial Community Hospital | Pharmacy | 507 E Lake St, Rockwell City, IA 50579-1711 | 2005-12-14 |
| 1063497188 | Stewart Memorial Community Hospital | General Acute Care Hospital | 1301 W Main St, Lake City, IA 51449-1585 | 2005-12-12 |
| 1316240104 | Stewart Memorial Community Hospital | Social Worker | 505 E Lake St, Rockwell City, IA 50579-1711 | 2010-12-16 |
| 1164617619 | Stewart Memorial Community Hospital | Nurse Practitioner | 24 S Main St, Dayton, IA 50530-7698 | 2007-09-07 |
| 1215155080 | Stewart Memorial Community Hospital | Clinic/Center | 1351 W Main St, Lake City, IA 51449-1585 | 2007-04-24 |
| 1396887394 | Stewart Memorial Community Hospital | General Acute Care Hospital | 1301 W Main St, Lake City, IA 51449-1585 | 2007-02-13 |
| 1013058924 | Stewart Memorial Community Hospital | Nurse Practitioner | 1301 W Main St, Lake City, IA 51449-1585 | 2007-02-12 |
| 1659412567 | Stewart Memorial Community Hospital | Durable Medical Equipment & Medical Supplies | 1301 W Main St, Lake City, IA 51449-1585 | 2007-02-12 |
| 1831230747 | Stewart Memorial Community Hospital | Dietitian, Registered | 1301 W Main St, Lake City, IA 51449-1585 | 2007-02-12 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| System for Award Management (SAM) Entities | STEWART MEMORIAL COMMUNITY HOSPITAL | 1301 West Main St, Lake City, IA 51449-1585 |
| Street Address |
1301 W MAIN ST |
| City | LAKE CITY |
| State | IA |
| Zip Code | 51449-1585 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1063497188 | Stewart Memorial Community Hospital | General Acute Care Hospital | 1301 W Main St, Lake City, IA 51449-1585 | 2005-12-12 |
| 1518567056 | Katie Mogensen | Registered Nurse | 1301 W Main St, Lake City, IA 51449-1585 | 2020-10-26 |
| 1427607795 | Marie A Drey | Occupational Therapist | 1301 W Main St, Lake City, IA 51449-1585 | 2019-09-09 |
| 1811546104 | Courtney L Bostwick | Speech-Language Pathologist | 1301 W Main St, Lake City, IA 51449-1585 | 2019-09-09 |
| 1871142158 | Lisa A Poppen-findley | Occupational Therapist | 1301 W Main St, Lake City, IA 51449-1585 | 2019-09-09 |
| 1154979557 | Branden M Roberts | Physical Medicine & Rehabilitation | 1301 W Main St, Lake City, IA 51449-1585 | 2019-08-28 |
| 1033677729 | Luke A Larson | Physical Therapist | 1301 W Main St, Lake City, IA 51449-1585 | 2019-03-12 |
| 1306377296 | Megan M Huster | Registered Nurse | 1301 W Main St, Lake City, IA 51449-1585 | 2017-03-23 |
| 1215477211 | Northland Hearing Centers, Inc | Hearing Aid Equipment | 1301 W Main St, Lake City, IA 51449-1585 | 2017-02-24 |
| 1811384050 | Martha Huser | Pharmacist | 1301 W Main St, Lake City, IA 51449-1585 | 2015-04-24 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1184719767 | Harris Drug, Inc. | Pharmacy | 121 East Main St., Lake City, IA 51449 | 2006-10-03 |
| 1427168749 | David Joseph Verbik | Dentist | 1331 West Main Street, Lake City, IA 51449 | 2006-08-30 |
| 1760921951 | Jeremie Lee Kent | Driver | 1115 W Main St, Lake City, IA 51449 | 2017-02-21 |
| 1811025984 | Cynthia Joan Grear | Pharmacist | 121 W. Main Street, Lake City, IA 51449 | 2007-03-01 |
| 1669521027 | Rock Vision Clinic PC | Optometrist | 1341 W Main St, Lake City, IA 51449-0124 | 2007-01-08 |
| 1770634677 | Craig Steven Rock | Optometrist | 1341 W Main St, Lake City, IA 51449-0124 | 2007-01-16 |
| 1285784280 | Jonathan Paul Judisch | Optometrist | 1341 W Main St, Lake City, IA 51449-0124 | 2007-01-11 |
| 1912141946 | Charles Smith Loeck | Dentist | 1100 N Douglas St, Lake City, IA 51449-1111 | 2009-04-21 |
| 1932357944 | Southern Cal Community School District | Local Education Agency (LEA) | 709 W Main St, Lake City, IA 51449-1500 | 2008-09-03 |
| 1255601811 | Cesar A. Cardenas | Surgery | 1400 W Main St, Lake City, IA 51449-1577 | 2012-01-12 |
| Find all providers in zip 51449 | ||||
| Taxonomy Code | 207P00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Emergency Medicine |
| An emergency physician focuses on the immediate decision making and action necessary to prevent death or any further disability both in the pre-hospital setting by directing emergency medical technicians and in the emergency department. The emergency physician provides immediate recognition, evaluation, care, stabilization and disposition of a generally diversified population of adult and pediatric patients in response to acute illness and injury. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: mofified source] - Additional Resources: American Board of Emergency Medicine, 2007. http://www.abem.org/public/; American Osteopathic Board of Emergency Medicine, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Emergency Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Emergency Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1801959697 | Anthony R. Ellis | Emergency Medicine | 3478 Inwood Ave, Lake City, IA 51449-7577 | 2006-12-19 |
| 1821168378 | Joseph Hernandez | Emergency Medicine | 826 Sw Main Blvd Ste 102, Lake City, FL 32025-5742 | 2006-11-09 |
| 1538251186 | North Florida Emergency Physicians | Emergency Medicine | 368 Ne Franklin Street, Lake City, FL 32055 | 2006-09-29 |
| 1467471201 | Carlos H Castellon | Emergency Medicine | 152 Nw Otter Ct, Lake City, FL 32055-7252 | 2006-07-19 |
| 1821028408 | Dean Silverberg | Emergency Medicine | North Florida/south Georgia Veterans Health System, 619 South Marion Avenue, Lake City, FL 32025 | 2006-07-03 |
| 1457396434 | Paul Richard Schriever | Emergency Medicine | 368 Ne Franklin St, Lake City, FL 32055-3088 | 2006-06-17 |
| 1053369595 | Beuford Durmon | Emergency Medicine | 700 N Henson St, Lake City, CO 81235 | 2006-05-05 |
| 1689665341 | James Charles Comstock | Emergency Medicine | 3420 Inwood Ave, Lake City, IA 51449-7577 | 2005-11-02 |
| 1336134386 | Sterling Emergency Services of Florida, Pa | Emergency Medicine | 340 Nw Commerce Dr, Lake City, FL 32055-4709 | 2005-09-15 |
| 1730707589 | Dustin Michael Crovo | Emergency Medicine | 340 Nw Commerce Dr, Lake City, FL 32055-4709 | 2020-07-08 |
| Find all providers in LAKE CITY | ||||
Please comment or provide details below to improve the information on STEWART MEMORIAL COMMUNITY 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.