PELLA REGIONAL HEALTH CENTER (NPI# 1952773921) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1952773921 |
| Entity Type | Organization |
| Organization Name | PELLA REGIONAL HEALTH CENTER |
| Other Organization Name | PELLA REGIONAL THERAPY AGENCY |
| Practice Address |
611 N Hancock St Ottumwa IA 52501-4233 |
| Practice Telephone | 6416286623 |
| Practice Fax Number | 6416212223 |
| Mailing Telephone | 6416286623 |
| Mailing Fax Number | 6416212223 |
| Enumeration Date | 2015-10-29 |
| Last Update Date | 2017-04-03 |
| Authorized Official Name | ROBERT D KROESE (CHIEF EXECUTIVE OFFICER) |
| Authorized Official Telephone | 6416286604 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QR0400X |
Clinic/Center Specialization: Rehabilitation |
Ambulatory Health Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NPI NUMBER | 1952773921 | 01 |
| Other Name | Type Code |
|---|---|
| Pella Regional Therapy Agency | 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 |
| 1619030988 | Pella Regional Health Center | Residential Treatment Facility, Physical Disabilities | 408 Jefferson St, Pella, IA 50219-1257 | 2006-12-18 |
| 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 |
611 N HANCOCK ST |
| City | OTTUMWA |
| State | IA |
| Zip Code | 52501-4233 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1497390785 | Allison Nicole Kraus | Speech-Language Pathologist | 611 N Hancock St, Ottumwa, IA 52501-4233 | 2019-11-11 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1205327210 | Speer Family Chiropractic, LLC | Chiropractor | 635 Pennsylvania Ave, Ottumwa, IA 52501 | 2018-05-24 |
| 1982194874 | Jasmine Benson | Nurse Practitioner | 1013 Pennsylvania Avenue, Suite A/b, Ottumwa, IA 52501 | 2018-05-16 |
| 1265957567 | Katie Marie Walz | Registered Nurse | 725 W. Second St., Ottumwa, IA 52501 | 2017-08-08 |
| 1033648431 | Cassadie Roberts | Occupational Therapy Assistant | 3 Pennsylvania Place, Ottumwa, IA 52501 | 2017-06-08 |
| 1588900880 | Ottumwa Er LLC | Emergency Medicine | 1001 Pennsylvania Avenue, Ottumwa, IA 52501 | 2012-12-14 |
| 1710258009 | Alcohol & Drug Dependency Services | Clinic/Center | 226 West Main St., Ottumwa, IA 52501 | 2012-01-19 |
| 1477832921 | Melissa Rohrssen | Physical Therapy Assistant | 13 Bear Creek Estates Drive, Ottumwa, IA 52501 | 2011-08-15 |
| 1578855201 | Brandy S.n. Jeansimon | Obstetrics & Gynecology | 1001 E. Pennsylvania Avenue, Ottumwa, IA 52501 | 2011-05-13 |
| 1801120399 | Frank Sam Harper | Counselor | 310 W. Main St., Ottumwa, IA 52501 | 2009-09-30 |
| 1902078439 | Sandro Younadam | Internal Medicine | 1013 Pennsylvania Avenue Suite A, Ottumwa Regional Health Center, Ottumwa, IA 52501 | 2008-03-25 |
| Find all providers in zip 52501 | ||||
| Taxonomy Code | 261QR0400X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Rehabilitation |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1710258009 | Alcohol & Drug Dependency Services | Clinic/Center | 226 West Main St., Ottumwa, IA 52501 | 2012-01-19 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1285233064 | Physiotherapy Associates, Inc. | Clinic/Center | 998 Westdale Parkway, Cedar Rapids, IA 52404 | 2020-10-22 |
| 1053924449 | Pella Regional Health Center | Clinic/Center | 404 S Commerce, Prairie City, IA 50228-8560 | 2020-08-26 |
| 1730702275 | Physiotherapy Associates, Inc. | Clinic/Center | 87 Paine St Se Ste 1&2, Bondurant, IA 50035-1451 | 2020-05-19 |
| 1821617069 | Physiotherapy Assoicates, Inc. | Clinic/Center | 319 7th St Ste 102, Des Moines, IA 50309-3812 | 2020-04-08 |
| 1194354795 | Physiotherapy Assoicates, Inc. | Clinic/Center | 87 Paine St Se, Bondurant, IA 50035-1451 | 2020-04-06 |
| 1245892629 | On With Life, Inc | Clinic/Center | 2854 Coral Court, Suite 1, Coralville, IA 52241 | 2019-07-05 |
| 1982265559 | Physiotherapy Associates, Inc. | Clinic/Center | 516 Nile Kinnick Dr S Ste B, Adel, IA 50003-2076 | 2019-06-25 |
| 1548820145 | Physiotherapy Associates, Inc. | Clinic/Center | 1327 Sunset Dr # 400, Norwalk, IA 50211-1343 | 2019-06-17 |
| 1952822801 | Physiotherapy Assoicates, Inc. | Clinic/Center | 9500 University Ave Ste 1115, West Des Moines, IA 50266-1745 | 2017-06-30 |
| 1659746766 | Physiotherapy Associates Inc | Clinic/Center | 3111 Gordon Dr, Sioux City, IA 51105-3730 | 2015-12-01 |
| 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.