SHELBY COUNTY CHRIS A MYRTUE MEMORIAL HOSPITAL (NPI# 1992817886) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1992817886 |
Entity Type | Organization |
Organization Name | SHELBY COUNTY CHRIS A MYRTUE MEMORIAL HOSPITAL |
Other Organization Name | MYRTUE MEDICAL CENTER - HARLAN CLINIC |
Practice Address |
1220 Chatburn Ave Harlan IA 51537-2009 |
Mailing Address |
1213 Garfield Ave Harlan IA 51537-2057 |
Practice Telephone | 7127555130 |
Practice Fax Number | 7127554470 |
Mailing Telephone | 7127555161 |
Mailing Fax Number | 7127554412 |
Enumeration Date | 2006-08-31 |
Last Update Date | 2010-12-14 |
Authorized Official Name | MR. BARRY A. JACOBSEN (CEO) |
Authorized Official Telephone | 7127554315 |
Is Organization Subpart | Y |
Parent Organization Name | SHELBY COUNTY CHRIS A MYRTUE MEMORIAL HOSPITAL |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 261QR1300X |
Clinic/Center Specialization: Rural Health |
Ambulatory Health Care Facilities |
State | Issuer | Identifier | Type Code |
---|---|---|---|
IA | 1680599 | 05 |
Other Name | Type Code |
---|---|
Myrtue Medical Center - Harlan Clinic | Doing Business As Name - Organization |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1841393493 | Shelby County Chris A Myrtue Memorial Hospital | Clinic/Center | 510 N Elm St, Avoca, IA 51521-3521 | 2006-09-07 |
1396847521 | Shelby County Chris A Myrtue Memorial Hospital | Home Health | 2712 12th St, Harlan, IA 51537-2306 | 2006-09-01 |
1316054034 | Shelby County Chris A Myrtue Memorial Hospital | Clinic/Center | 301 East Street, Shelby, IA 51570-3319 | 2006-08-25 |
1467569905 | Shelby County Chris A Myrtue Memorial Hospital | Clinic/Center | 4022 Main Street, Elk Horn, IA 51531-2102 | 2006-08-23 |
1417342288 | Shelby County Chris A Myrtue Memorial Hospital | Clinic/Center | 100 Industrial Dr, Ste 101, Earling, IA 51530-5213 | 2015-03-30 |
1134225048 | Shelby County Chris A Myrtue Memorial Hospital | Hospice Care, Community Based | 2712 12th St, Harlan, IA 51537-2306 | 2006-09-16 |
1043316953 | Shelby County Chris A Myrtue Memorial Hospital | Medicare Defined Swing Bed Unit | 1213 Garfield Ave, Harlan, IA 51537-2057 | 2006-09-16 |
1598871469 | Shelby County Chris A Myrtue Memorial Hospital | General Acute Care Hospital | 1213 Garfield Ave, Harlan, IA 51537-2057 | 2006-08-22 |
Street Address |
1220 CHATBURN AVE |
City | HARLAN |
State | IA |
Zip Code | 51537-2009 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1477551661 | Russell Gordon Marquardt Sr. | Physician Assistant | 1220 Chatburn Ave, Harlan, IA 51537-2009 | 2005-07-12 |
1811340425 | Sarah Marie Mgonja | Nurse Practitioner | 1220 Chatburn Ave, Harlan, IA 51537-2009 | 2016-07-19 |
1871731869 | Amanda Kay Handley | Speech-Language Pathologist | 1220 Chatburn Ave, Harlan, IA 51537-2009 | 2009-01-28 |
1770746620 | Robert Adam Bendorf | Family Medicine | 1220 Chatburn Ave, Harlan, IA 51537-2009 | 2008-07-09 |
1700085081 | Stacy Michelle Torneten | Physical Therapist | 1220 Chatburn Ave, Physical Therapy Dept., Harlan, IA 51537-2009 | 2007-07-16 |
1588772685 | Jill M Ferry | Physician Assistant | 1220 Chatburn Ave, Harlan, IA 51537-2009 | 2006-08-28 |
1700994308 | Scott A Markham | Family Medicine | 1220 Chatburn Ave, Harlan, IA 51537-2009 | 2006-08-25 |
1386752996 | Jean R Stamp | Nurse Practitioner | 1220 Chatburn Ave, Harlan, IA 51537-2009 | 2006-08-25 |
1114034592 | Roger A Davidson | Family Medicine | 1220 Chatburn Ave, Harlan, IA 51537-2009 | 2006-08-23 |
1235246539 | Donald R Klitgaard | Family Medicine | 1220 Chatburn Ave, Harlan, IA 51537-2009 | 2006-08-23 |
Find all providers in the same location |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1063925097 | Morningview Dental, Pllc | Dentist | 1116 Morningview Dr., Harlan, IA 51537 | 2017-11-13 |
1992133292 | Frances B. Hutson | Dietitian, Registered | 2003 Chatburn Ave., Hy-vee, Harlan, IA 51537 | 2013-10-23 |
1043449168 | Edith H Shetler | Speech-Language Pathologist | 1213 Garlfied Ave, Harlan, IA 51537 | 2009-07-10 |
1114086287 | Heartland Family Service | Clinic/Center | 1710 Industrial Pkwy, Harlan, IA 51537 | 2006-12-06 |
1356457535 | Phillip Lynn Markham | Dentist | 2105 Pine St, Harlan, IA 51537 | 2006-08-21 |
1831114255 | Concerned, Inc. | Day Training, Developmentally Disabled Services | 1802 Industrial Parkway, Harlan, IA 51537 | 2006-07-13 |
1457323198 | Michael R Rosmann | Psychologist | 1210 7th St, Ste C Michael R Rosmann Phd, Harlan, IA 51537 | 2006-02-06 |
1912982075 | Bret D. Heileson | Emergency Medicine | 1220 Chatburn Avenue, Harlan, IA 51537 | 2005-12-13 |
1821468547 | Swfac | Podiatrist | 1213 Garfield Ave, Harlan, IA 51537 | 2015-10-07 |
1043443260 | White Pine Dental Group Pllc | Dentist | 2105 Pine St, Harlan, IA 51537 | 2009-09-04 |
Find all providers in zip 51537 |
Taxonomy Code | 261QR1300X |
Grouping | Ambulatory Health Care Facilities |
Classification | Clinic/Center |
Specialization | Rural Health |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1497195036 | Clover Fork Outpatient Medical Project Inc | Clinic/Center | 209 E Mound St, Harlan, KY 40831-2321 | 2013-06-27 |
1942462585 | Appalachian Regional Healthcare, Inc. | Clinic/Center | 37 Ball Park Road, Harlan, KY 40831 | 2008-06-25 |
1669506523 | Appalachian Regional Healthcare, Inc. | Clinic/Center | 37 Ball Park Road, Harlan, KY 40831 | 2007-03-15 |
1568548725 | Shelby County Chris A. Myrtue Memorial Hospital | Clinic/Center | 1213 Garfield Ave, Harlan, IA 51537-2057 | 2006-10-31 |
1740366905 | Shelby County Chris A. Myrtue Memorial Hospital | Clinic/Center | 1213 Garfield Ave, Harlan, IA 51537-2057 | 2006-10-31 |
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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 |
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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.