CLARKE COUNTY PUBLIC HOSPITAL (NPI# 1073555462) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1073555462 |
| Entity Type | Organization |
| Organization Name | CLARKE COUNTY PUBLIC HOSPITAL |
| Other Organization Name | CLARKE COUNTY HOSPITAL |
| Practice Address |
800 S Fillmore St Osceola IA 50213-1694 |
| Practice Telephone | 6413422184 |
| Practice Fax Number | 6413425318 |
| Mailing Telephone | 6413422184 |
| Mailing Fax Number | 6413425318 |
| Enumeration Date | 2006-06-12 |
| Last Update Date | 2011-02-25 |
| Authorized Official Name | MR. MICHAEL THOMAS THILGES (COO/CFO) |
| Authorized Official Telephone | 6413425327 |
| Is Organization Subpart | Y |
| Parent Organization Name | CLARKE COUNTY HOSPITAL |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 282NC0060X |
General Acute Care Hospital Specialization: Critical Access |
200012H | IA | Hospitals |
| Y | 275N00000X | Medicare Defined Swing Bed Unit | 200012H | IA | Hospital Units |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| WELLMARK SWINGBED # | 66049 | 01 | |
| IA | 0655209 | 05 |
| Other Name | Type Code |
|---|---|
| Clarke County Hospital | Other Name - Individual/Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1851856132 | Clarke County Public Hospital | Obstetrics & Gynecology | 800 S Fillmore St Ste A&b, Osceola, IA 50213-1619 | 2019-01-31 |
| 1114954997 | Clarke County Public Hospital | General Acute Care Hospital | 800 S Fillmore St, Osceola, IA 50213-1694 | 2006-06-27 |
| 1023045804 | Clarke County Public Hospital | Orthopaedic Surgery | 800 S Fillmore St, Osceola, IA 50213-1694 | 2006-06-27 |
| 1477599678 | Clarke County Public Hospital | General Acute Care Hospital | 800 S Fillmore St, Osceola, IA 50213-1694 | 2006-06-22 |
| 1386680585 | Clarke County Public Hospital | General Acute Care Hospital | 800 S Fillmore St, Osceola, IA 50213-1694 | 2006-06-22 |
| Street Address |
800 S FILLMORE ST |
| City | OSCEOLA |
| State | IA |
| Zip Code | 50213-1694 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1982698650 | Michele Marie Evink | Pharmacist | 800 S Fillmore St, Osceola, IA 50213-1619 | 2005-09-08 |
| 1952814980 | Karrie Marie Lisboa | Nurse Practitioner | 800 S Fillmore St, Osceola, IA 50213-1694 | 2017-11-13 |
| 1063962801 | Sarah A Davis | Dietitian, Registered | 800 S Fillmore St, Osceola, IA 50213-1619 | 2016-10-05 |
| 1871995373 | Brian Jacobs | Nurse Anesthetist, Certified Registered | 800 S Fillmore St, Osceola, IA 50213-1619 | 2014-09-16 |
| 1609291038 | Professional Physical Therapy Sevices, Inc. | Clinic/Center | 800 S Fillmore St, Osceola, IA 50213-1619 | 2014-02-21 |
| 1497196505 | Kristine A Oksendahl | Dietary Manager | 800 S Fillmore St, Osceola, IA 50213-1619 | 2013-07-17 |
| 1760719314 | Valerie Ann Knedler | Nurse Practitioner | 800 S Fillmore St, Osceola, IA 50213-1619 | 2009-11-03 |
| 1053536961 | Clarke County Homemakers | Home Health | 800 S Fillmore St, Osceola, IA 50213-1619 | 2007-04-16 |
| 1881749018 | Richard W. Gannon | Emergency Medicine | 800 S Fillmore St, Osceola, IA 50213-1619 | 2007-01-25 |
| 1104930791 | Hawkeye Emergency Physicians | Emergency Medicine | 800 S Fillmore St, Osceola, IA 50213-1619 | 2006-08-19 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1336769579 | Mark J Good Sr. | Pharmacist | 510 West Mcclane St., Osceola, IA 50213 | 2020-04-17 |
| 1255990743 | Breann Mckenzie Goodall | Social Worker | 105 E. Mcclane, Suite 400, Osceola, IA 50213 | 2019-06-10 |
| 1255649505 | Homestead of Osceola Operations LLC | Assisted Living Facility | 334 North West View Drive, Osceola, IA 50213 | 2010-09-21 |
| 1447389507 | John W Meyer, Dds, P.C. | Dentist | 423 S Main Street, Clarke County Dental Health Center, Osceola, IA 50213 | 2007-03-05 |
| 1699822254 | Clarke C.s.d. | Local Education Agency (LEA) | 104 & Half S Fillmore, Osceola, IA 50213 | 2007-01-05 |
| 1740342005 | Bruce Alan Harris | Dentist | 148 West Jefferson, Bruce A Harris Dds PC, Osceola, IA 50213 | 2006-12-14 |
| 1336213859 | Dutchmen Incorporated | Pharmacy | 214 S. Main, Osceola, IA 50213 | 2006-11-17 |
| 1861815276 | Don Henderson | Counselor | 131 W Washington St, Osceola, IA 50213 | 2014-01-22 |
| 1972650471 | Mosaic | Intermediate Care Facility, Mentally Retarded | 517 East Ayers, Osceola, IA 50213-0000 | 2007-01-05 |
| 1750438461 | Mosaic | Intermediate Care Facility, Mentally Retarded | 209 East Mc Lane, Osceola, IA 50213-0000 | 2007-01-04 |
| Find all providers in zip 50213 | ||||
| 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. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1003970872 | Ameris of Osceola,llc | Medicare Defined Swing Bed Unit | 611 W Lee Ave, Osceola, AR 72370-3001 | 2006-12-19 |
| 1619051844 | St. Clair County Hospital District #1 | Medicare Defined Swing Bed Unit | 700 Giesler Rd, Osceola, MO 64776-6279 | 2006-10-24 |
| 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 |
| 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.