HUMBOLDT COUNTY MEMORIAL HOSPITAL (NPI# 1043395247) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1043395247 |
| Entity Type | Organization |
| Organization Name | HUMBOLDT COUNTY MEMORIAL HOSPITAL |
| Practice Address |
1000 15th St N Humboldt IA 50548-1008 |
| Practice Telephone | 5153324200 |
| Practice Fax Number | 5153324820 |
| Mailing Telephone | 5153324200 |
| Mailing Fax Number | 5153324820 |
| Enumeration Date | 2006-10-26 |
| Last Update Date | 2019-04-05 |
| Authorized Official Name | MS. MICHELLE SLEITER (CEO) |
| Authorized Official Telephone | 5153324200 |
| Is Organization Subpart | Y |
| Parent Organization Name | HUMBOLDT COUNTY MEMORIAL HOSPITAL |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 101YM0800X |
Counselor Specialization: Mental Health |
Behavioral Health & Social Service Providers | ||
| N | 207Q00000X | Family Medicine | Allopathic & Osteopathic Physicians | ||
| Y | 207P00000X | Emergency Medicine | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| IA | BLUE CROSS PROF | 02371 | 01 |
| IA | 0023713 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1255930178 | Humboldt County Memorial Hospital | Clinic/Center | 1000 15th St N Ste C, Humboldt, IA 50548-1008 | 2020-10-21 |
| 1659359867 | Humboldt County Memorial Hospital | Public Health or Welfare | 1012 15th St N, Humboldt, IA 50548-1008 | 2006-01-06 |
| 1194702977 | Humboldt County Memorial Hospital | General Acute Care Hospital | 1000 15th St N, Humboldt, IA 50548-1008 | 2005-12-22 |
| 1255972477 | Humboldt County Memorial Hospital | Registered Nurse | 1000 15th St N, Humboldt, IA 50548-1008 | 2019-09-30 |
| 1255407268 | Humboldt County Memorial Hospital | Hospice Care, Community Based | 1012 15th St N, Humboldt, IA 50548-1008 | 2006-11-28 |
| 1235214420 | Humboldt County Memorial Hospital | General Acute Care Hospital | 1000 15th St N, Humboldt, IA 50548-1008 | 2006-10-26 |
| 1912089848 | Humboldt County Memorial Hospital | Nursing Facility/Intermediate Care Facility | 1000 15th St N, Humboldt, IA 50548-1008 | 2006-10-19 |
| 1821170754 | Humboldt County Memorial Hospital | Ambulance | 1000 15th St N, Humboldt, IA 50548-1008 | 2006-10-19 |
| Street Address |
1000 15TH ST N |
| City | HUMBOLDT |
| State | IA |
| Zip Code | 50548-1008 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1194702977 | Humboldt County Memorial Hospital | General Acute Care Hospital | 1000 15th St N, Humboldt, IA 50548-1008 | 2005-12-22 |
| 1255972477 | Humboldt County Memorial Hospital | Registered Nurse | 1000 15th St N, Humboldt, IA 50548-1008 | 2019-09-30 |
| 1265073480 | Jennifer A Dewinter | Registered Nurse | 1000 15th St N, Humboldt, IA 50548-1008 | 2019-09-30 |
| 1700309010 | Michelle Hankins | Counselor | 1000 15th St N, Humboldt, IA 50548-1008 | 2017-07-18 |
| 1689082976 | Morgan Lyons | Nurse Practitioner | 1000 15th St N, Humboldt, IA 50548-1008 | 2014-07-30 |
| 1346685443 | Amanda J Thul | Dietitian, Registered | 1000 15th St N, Humboldt, IA 50548-1008 | 2013-05-02 |
| 1902140817 | Larry James Hall | Pharmacist | 1000 15th St N, Humboldt, IA 50548-1008 | 2012-11-15 |
| 1619253051 | North Central Iowa Mental Health Center, Inc | Clinic/Center | 1000 15th St N, Humboldt, IA 50548-1008 | 2011-10-31 |
| 1619014008 | North Central Iowa Mental Health Center, Inc | Clinic/Center | 1000 15th St N, Humboldt, IA 50548-1008 | 2007-02-01 |
| 1235214420 | Humboldt County Memorial Hospital | General Acute Care Hospital | 1000 15th St N, Humboldt, IA 50548-1008 | 2006-10-26 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1255823969 | Shanna Renae Studer | Optometrist | 10 Taft St. S, Humboldt, IA 50548 | 2018-05-30 |
| 1093028045 | Cody Gene Olson | Dentist | 1101 13th St. N, Suite 1, North Park Family Dentistry, Humboldt, IA 50548 | 2010-07-20 |
| 1295055648 | Pain Be-gone Anesthesia Services Inc | Clinic/Center | 1001 12th St N, Humboldt, IA 50548 | 2010-06-08 |
| 1366654543 | 1st Avenue Chiropractic, P.C. | Clinic/Center | 611 1 St Ave Chiropractic, Humboldt, IA 50548 | 2007-05-03 |
| 1346272705 | Harvey Evans PC | Dentist | 1014 15th St N, Humboldt, IA 50548 | 2006-07-07 |
| 1255930178 | Humboldt County Memorial Hospital | Clinic/Center | 1000 15th St N Ste C, Humboldt, IA 50548-1008 | 2020-10-21 |
| 1881112522 | Trinity Regional Medical Center | Clinic/Center | 1000 15th St N Ste A, Humboldt, IA 50548-1008 | 2017-09-01 |
| 1659359867 | Humboldt County Memorial Hospital | Public Health or Welfare | 1012 15th St N, Humboldt, IA 50548-1008 | 2006-01-06 |
| 1629069786 | David Ruzicka | Emergency Medicine | 1010 15th St N, Humboldt, IA 50548-1008 | 2005-10-28 |
| 1326525643 | Brittney J Peters | Family Medicine | 1010 15th St N, Humboldt, IA 50548-1008 | 2018-07-20 |
| Find all providers in zip 50548 | ||||
| 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 |
|---|---|---|---|---|
| 1629069786 | David Ruzicka | Emergency Medicine | 1010 15th St N, Humboldt, IA 50548-1008 | 2005-10-28 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1275151003 | Linn County Emergency Medicine PC | Emergency Medicine | 1195 Boyson Rd Ste 101, Hiawatha, IA 52233-2218 | 2020-07-08 |
| 1245795087 | Gabriel Alejandro Hernandez Roman | Emergency Medicine | 200 Hawkins Dr Dept of Emergency Medicine, Iowa Cit, IA 52242-1009 | 2019-02-06 |
| 1821527862 | Ashley Nicole Evans | Emergency Medicine | 420 Community Dr, North Liberty, IA 52317-6706 | 2017-06-04 |
| 1457715047 | Benjamin Rezny | Emergency Medicine | 200 Hawkins Dr Dept of Anesthesia, Iowa City, IA 52242-1009 | 2016-04-08 |
| 1407293236 | Austin Koch | Emergency Medicine | 200 Hawkins Drive, 1008 Rcp, Uihc - Emergency Medicine, Iowa City, IA 52242 | 2013-06-03 |
| 1588900880 | Ottumwa Er LLC | Emergency Medicine | 1001 Pennsylvania Avenue, Ottumwa, IA 52501 | 2012-12-14 |
| 1336403419 | William E Kettelkamp | Emergency Medicine | 2760 E Robins Rd, Marion, IA 52302-9525 | 2012-07-03 |
| 1578827465 | Sandy Kay Clayton | Emergency Medicine | 901 Montgomery St., Medical Staff Services, Decorah, IA 52101-2325 | 2012-06-26 |
| 1821356015 | Brandon Charles Whalen | Emergency Medicine | 200 Hawkins Dr, 1008 Rcp, Iowa City, IA 52242 | 2012-04-25 |
| 1730407545 | Randall Glen Wood | Emergency Medicine | 2720 Stone Park Blvd., Sioux City, IA 51104 | 2010-05-04 |
| 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.