AVERA HOLY FAMILY (NPI# 1083652887) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1083652887 |
Entity Type | Organization |
Organization Name | AVERA HOLY FAMILY |
Other Organization Name | AVERA MEDICAL GROUP ESTHERVILLE |
Practice Address |
926 N 8th St Estherville IA 51334-1300 |
Practice Telephone | 7123626501 |
Practice Fax Number | 7123627190 |
Mailing Telephone | 7123626501 |
Mailing Fax Number | 7123627190 |
Enumeration Date | 2006-06-03 |
Last Update Date | 2011-04-08 |
Authorized Official Name | MRS. SHANNON ANN ADAMS (CFO) |
Authorized Official Telephone | 7123626519 |
Is Organization Subpart | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 261Q00000X | Clinic/Center | IA | Ambulatory Health Care Facilities |
State | Issuer | Identifier | Type Code |
---|---|---|---|
IA | 0076000 | 05 |
Other Name | Type Code |
---|---|
Avera Medical Group Estherville | Doing Business As Name - Organization |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1477768828 | Avera Holy Family | Anesthesiology | 826 N 8th St, Estherville, IA 51334-1528 | 2007-05-11 |
1124056338 | Avera Holy Family | Emergency Medicine | 826 N 8th St, Estherville, IA 51334-1528 | 2006-06-28 |
1891738365 | Avera Holy Family | General Acute Care Hospital | 826 N 8th St, Estherville, IA 51334-1528 | 2006-06-13 |
1508810177 | Avera Holy Family | General Acute Care Hospital | 826 N 8th St, Estherville, IA 51334-1528 | 2006-05-19 |
Entity Type | Entity Name | Entity Address |
---|---|---|
System for Award Management (SAM) Entities | AVERA HOLY FAMILY HEALTH | 826 N 8th St, Estherville, IA 51334-1528 |
Street Address |
926 N 8TH ST |
City | ESTHERVILLE |
State | IA |
Zip Code | 51334-1300 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1386694412 | Randy C. Asman | Family Medicine | 926 N 8th St, Estherville, IA 51334-1300 | 2006-05-11 |
1699130807 | Sarah Elizabeth Walker-loring | Nurse Practitioner | 926 N 8th St, Estherville, IA 51334-1300 | 2015-12-15 |
1134417694 | Ashley Jae Dean | Family Medicine | 926 N 8th St, Estherville, IA 51334-1300 | 2011-07-19 |
1083873756 | Anthony Ferillo Cook | Family Medicine | 926 N 8th St, Estherville, IA 51334-1300 | 2008-06-06 |
1316998446 | Keith L. Probst | Family Medicine | 926 N 8th St, Estherville, IA 51334-1300 | 2006-05-13 |
1811948151 | Douglas V. Stangl | Family Medicine | 926 N 8th St, Estherville, IA 51334-1300 | 2006-05-12 |
1336190685 | James C. Creech | Family Medicine | 926 N 8th St, Estherville, IA 51334-1300 | 2006-05-12 |
1467403774 | Robert S. Hranac | Family Medicine | 926 N 8th St, Estherville, IA 51334-1300 | 2006-05-12 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1235760125 | Rebecca Nosbusch | Social Worker | 1801 E Central Ave, Estherville, IA 51334 | 2020-01-29 |
1558694117 | Alan M. Blake D.d.s. | Dentist | 808 N. 9th St., Estherville, IA 51334 | 2009-09-15 |
1174619266 | Gregory James Williams | Dentist | 326 W Central Ave, Estherville, IA 51334 | 2006-10-05 |
1770679862 | Dennis Don Bruns | Dentist | W326 Central Avenue, Estherville, IA 51334 | 2006-10-05 |
1326059023 | Moreau Chiropractic Clinic | Chiropractor | 1820 Central Avenue, Estherville, IA 51334 | 2006-08-10 |
1194707331 | Signature Properties of Estherville, LLC | Skilled Nursing Facility | 2001 1st Ave. North, Estherville, IA 51334 | 2005-11-15 |
1720001936 | Avera At Home | Home Health | 826 N 8th Street, Estherville, IA 51334-1528 | 2006-07-26 |
1972503928 | Christopher Woodward | Nurse Anesthetist, Certified Registered | 826 N 8th St, Estherville, IA 51334-1528 | 2005-07-29 |
1205472669 | Kristi Hough | Pharmacist | 826 N 8th St, Estherville, IA 51334-1528 | 2019-11-20 |
1023653391 | April Sue Krull | Pharmacist | 826 N 8th St, Estherville, IA 51334-1528 | 2019-11-11 |
Find all providers in zip 51334 |
Taxonomy Code | 261Q00000X |
Grouping | Ambulatory Health Care Facilities |
Classification | Clinic/Center |
A facility or distinct part of one used for the diagnosis and treatment of outpatients. "Clinic/Center" is irregularly defined, sometimes being limited to organizations serving specialized treatment requirements or distinct patient/client groups (e.g., radiology, poor, and public health). |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1629357603 | Woods Chiropractic Plc | Clinic/Center | 620 1st Ave S, Estherville, IA 51334-2349 | 2011-08-09 |
1639448756 | Sander Chiropractic | Clinic/Center | 15 S 9th St, Estherville, IA 51334-2220 | 2011-12-19 |
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---|---|---|---|---|
1811598659 | Walke Dentistry Pllc - Series 1 | Clinic/Center | 511 N Bluff St, Guttenberg, IA 52052-9465 | 2020-11-06 |
1598374712 | Michael Richard Anderson | Clinic/Center | 2560 Hubbell Ave, Des Moines, IA 50317-6102 | 2020-07-23 |
1659904803 | Ikc, LLC | Clinic/Center | 8736 Nw 27th Court, Ankeny, IA 50023 | 2020-02-17 |
1861039927 | New Horizon Mental Health & Wellness | Clinic/Center | 600 4th St Ste 202, Sioux City, IA 51101-1605 | 2019-12-06 |
1619512845 | Rebound Chiropractic and Sports Medicine, LLC | Clinic/Center | 1201 Sw State St., Suite 111, Ankeny, IA 50023-5002 | 2019-11-12 |
1558904417 | Lakes Regional Healthcare | Clinic/Center | 2408 Zenith Avenue, Suite E, Spirit Lake, IA 51360 | 2019-10-23 |
1063971166 | Developmental Wellness, LLC | Clinic/Center | 5500 240th St, Ames, IA 50014-9501 | 2019-03-18 |
1790251924 | Spencer Municipal Hospital | Clinic/Center | 116 E 11th St Ste 208, Spencer, IA 51301-4363 | 2018-10-15 |
1578054698 | Ideal Option, Pllc | Clinic/Center | 817 Tower Park Drive, Waterloo, IA 50701-9027 | 2018-05-24 |
1417448754 | Ideal Option, Pllc | Clinic/Center | 4125 Gordon Dr, Sioux City, IA 51106-1304 | 2018-05-22 |
Find all providers with the same taxonomy |
City | ESTHERVILLE |
Zip Code | 51334 |
Please comment or provide details below to improve the information on AVERA HOLY FAMILY.
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.