STEWART MEMORIAL COMMUNITY HOSPITAL (NPI# 1063598175) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1063598175 |
Entity Type | Organization |
Organization Name | STEWART MEMORIAL COMMUNITY HOSPITAL |
Practice Address |
1301 W Main St Lake City IA 51449-1585 |
Practice Telephone | 7124643171 |
Practice Fax Number | 7124643269 |
Mailing Telephone | 7124643171 |
Mailing Fax Number | 7124643269 |
Enumeration Date | 2006-10-31 |
Last Update Date | 2007-12-10 |
Authorized Official Name | MR. 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 | 282NC0060X |
General Acute Care Hospital Specialization: Critical Access |
130029H | IA | Hospitals |
Y | 275N00000X | Medicare Defined Swing Bed Unit | 130029H | IA | Hospital Units |
State | Issuer | Identifier | Type Code |
---|---|---|---|
IA | 0655258 | 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 |
1740321652 | 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 |
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 | 275N00000X |
Grouping | Hospital Units |
Classification | Medicare Defined Swing Bed Unit |
A unit of a hospital that has a Medicare provider agreement and has been granted approval from HCFA to provide post-hospital extended care services and be reimbursed as a swing-bed unit. |
Notes: Source: Code of Federal Regulations #42, Section 482.66. |
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---|---|---|---|---|
1912410804 | Lake Shore Hma, LLC | Medicare Defined Swing Bed Unit | 368 Ne Franklin St, Lake City, FL 32055-3088 | 2017-11-14 |
1790850865 | Lower Florence County Hospital | Medicare Defined Swing Bed Unit | 258 N Ron Mcnair Blvd, Lake City, SC 29560-2462 | 2006-11-22 |
1891710893 | Mayo Clinic Health System-lake City | Medicare Defined Swing Bed Unit | 500 W Grant St, Lake City, MN 55041-1143 | 2006-07-12 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1538373717 | Washington County Hospital | Medicare Defined Swing Bed Unit | 400 East Polk Street, Washington, IA 52353 | 2007-05-09 |
1548278328 | Sioux Center Health | Medicare Defined Swing Bed Unit | 1101 9th St. Se, Sioux Center, IA 51250-2501 | 2006-08-04 |
1093288292 | Avera Mckennan | Medicare Defined Swing Bed Unit | 1100 S 10th Ave, Rock Rapids, IA 51246-2020 | 2019-01-10 |
1649650714 | Mercy Medical Center - Newton | Medicare Defined Swing Bed Unit | 204 N 4th Ave E, Newton, IA 50208-3135 | 2015-06-04 |
1922335322 | Story County Hospital | Medicare Defined Swing Bed Unit | 640 S 19th St, Nevada, IA 50201-2902 | 2009-11-06 |
1063650034 | Unity Healthcare | Medicare Defined Swing Bed Unit | 1518 Mulberry Ave, Muscatine, IA 52761-3433 | 2009-01-29 |
1780892307 | Grinnell Regional Medical Center | Medicare Defined Swing Bed Unit | 210 4th Ave, Grinnell, IA 50112-1898 | 2007-05-18 |
1639399827 | Baum Harmon Mercy Hospital | Medicare Defined Swing Bed Unit | 255 N Welch Ave, Primghar, IA 51245-0528 | 2007-04-27 |
1447381322 | Veterans Memorial Hospital City of Waukon Ia | Medicare Defined Swing Bed Unit | 40 1st St Se, Waukon, IA 52172-2022 | 2007-03-09 |
1356490841 | Ringgold County Hospital | Medicare Defined Swing Bed Unit | 504 N. Cleveland St., Mount Ayr, IA 50854-2201 | 2007-01-10 |
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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.