GREENE COUNTY MEDICAL CENTER (NPI# 1083654883) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1083654883 |
Entity Type | Organization |
Organization Name | GREENE COUNTY MEDICAL CENTER |
Practice Address |
1000 W Lincoln Way Jefferson IA 50129-1645 |
Practice Telephone | 5153862114 |
Practice Fax Number | 5153863695 |
Mailing Telephone | 5153862114 |
Mailing Fax Number | 5153863695 |
Enumeration Date | 2006-06-08 |
Last Update Date | 2020-04-02 |
Authorized Official Name | TRACY D WARNER (CEO) |
Authorized Official Telephone | 5153862114 |
Is Organization Subpart | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 282NC0060X |
General Acute Care Hospital Specialization: Critical Access |
Hospitals |
State | Issuer | Identifier | Type Code |
---|---|---|---|
IA | 0600213 | 05 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1457825192 | Greene County Medical Center | Clinic/Center | 1000 W Lincoln Way Ste 100, Jefferson, IA 50129-1645 | 2019-01-16 |
1962436972 | Greene County Medical Center | Clinic/Center | 803 E Main St, Panora, IA 50216-1055 | 2006-07-10 |
1245260652 | Greene County Medical Center | General Acute Care Hospital | 1000 W Lincolnway St, Jefferson, IA 50129-1645 | 2006-07-03 |
1336574946 | Greene County Medical Center | Nurse Anesthetist, Certified Registered | 1000 W Lincoln Way, Jefferson, IA 50129-1645 | 2013-09-13 |
1073871471 | Greene County Medical Center | Public Health or Welfare | 1000 W Lincolnway St, Jefferson, IA 50129-1645 | 2012-04-24 |
1134433923 | Greene County Medical Center | Social Worker | 1000 W Lincoln Way, Jefferson, IA 50129-1645 | 2010-08-04 |
1629226832 | Greene County Medical Center | Obstetrics & Gynecology | 1000 W Lincolnway St, Suite Awc, Jefferson, IA 50129-1645 | 2008-08-29 |
1346462785 | Greene County Medical Center | Pharmacy | 1000 W Lincolnway St, Jefferson, IA 50129-1645 | 2007-05-03 |
1649337346 | Greene County Medical Center | Durable Medical Equipment & Medical Supplies | 1000 W Lincolnway St, Jefferson, IA 50129-1645 | 2007-01-02 |
1629153176 | Greene County Medical Center | Medicare Defined Swing Bed Unit | 1000 W Lincoln Way, Jefferson, IA 50129-1645 | 2006-10-25 |
Entity Type | Entity Name | Entity Address |
---|---|---|
Iowa Business Entities | GREENE COUNTY MEDICAL CENTER FOUNDATION | 1000 W. Lincolnway, Jefferson, IA 50129 |
Street Address |
1000 W LINCOLN WAY |
City | JEFFERSON |
State | IA |
Zip Code | 50129-1645 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1922571454 | Tyler Ommen | Occupational Therapist | 1000 W Lincoln Way, Jefferson, IA 50129-1645 | 2019-01-08 |
1871030536 | North Central Iowa Mental Health Center, Inc | Clinic/Center | 1000 W Lincoln Way, Jefferson, IA 50129-1645 | 2017-01-19 |
1679027361 | Morgan Flaherty | Registered Nurse | 1000 W Lincoln Way, Jefferson, IA 50129-1645 | 2016-08-10 |
1336574946 | Greene County Medical Center | Nurse Anesthetist, Certified Registered | 1000 W Lincoln Way, Jefferson, IA 50129-1645 | 2013-09-13 |
1881038388 | Deonne Reed | Physical Therapy Assistant | 1000 W Lincoln Way, Jefferson, IA 50129-1645 | 2013-04-26 |
1124462742 | Sarah Kilbourn | Occupational Therapist | 1000 W Lincoln Way, Jefferson, IA 50129-1645 | 2013-04-25 |
1861836488 | Ashley Friday | Physical Therapist | 1000 W Lincoln Way, Jefferson, IA 50129-1645 | 2013-04-25 |
1639513385 | Deborah Morton | Physical Therapist | 1000 W Lincoln Way, Jefferson, IA 50129-1645 | 2013-04-24 |
1134433923 | Greene County Medical Center | Social Worker | 1000 W Lincoln Way, Jefferson, IA 50129-1645 | 2010-08-04 |
1174740385 | Holly M Van De Voort | Pediatrics | 1000 W Lincoln Way, Jefferson, IA 50129 | 2007-04-19 |
Find all providers in the same location |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1932689494 | John Bryan Brunow | Durable Medical Equipment & Medical Supplies | 208 E Lincoln Way, Jefferson, IA 50129 | 2018-08-15 |
1083903140 | Private Victories Counseling Services, LLC | Marriage & Family Therapist | 115 East Lincolnway, Suite 340, Jefferson, IA 50129 | 2011-03-29 |
1093860108 | William Hoyt Monroe | Pharmacist | 400 North Elm Street, Jefferson, IA 50129 | 2007-01-25 |
1073672036 | Martin W Miller | Chiropractor | 206 N Grimmell Road, Jefferson, IA 50129 | 2006-12-06 |
1972548303 | Hy Vee Inc | Pharmacy | 106 W. Washington Street, Suite 1, Jefferson, IA 50129 | 2006-06-19 |
1720052996 | Michael Dean Smith | Audiologist-Hearing Aid Fitter | 100 S Wilson Ave, Jefferson, IA 50129 | 2006-02-15 |
1407843220 | Laurie Lynn Connolly | Family Medicine | 1002 Lincoln Way, Jefferson, IA 50129 | 2005-10-06 |
1639173685 | Anglemyer Pharmacies LLC | Durable Medical Equipment & Medical Supplies | 400 N Elm St, Jefferson, IA 50129 | 2005-06-08 |
1235127481 | Thomas W. Fagg | Family Medicine | 1002 Lincoln Way, Jefferson, IA 50129 | 2005-10-12 |
1295248375 | Leah Renwanz | Chiropractor | 1407 N Elm St, Jefferson, IA 50129-1012 | 2017-11-10 |
Find all providers in zip 50129 |
Taxonomy Code | 282NC0060X |
Grouping | Hospitals |
Classification | General Acute Care Hospital |
Specialization | Critical Access |
Definition to come. |
Notes: [7/1/2003: new] |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1245260652 | Greene County Medical Center | General Acute Care Hospital | 1000 W Lincolnway St, Jefferson, IA 50129-1645 | 2006-07-03 |
1376671370 | Ashe Memorial Hospital Inc | General Acute Care Hospital | 200 Hospital Ave, Jefferson, NC 28640-9244 | 2007-03-01 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1144378621 | Loring Hospital | General Acute Care Hospital | 211 Highland Ave, Sac City, IA 50583-2416 | 2007-01-08 |
1245387844 | Manning Regional Healthcare Center | General Acute Care Hospital | 1550 6th St, Manning, IA 51455-1004 | 2007-01-04 |
1922164581 | Madison County Health Care System | General Acute Care Hospital | 300 Hutchings, Winterset, IA 50273 | 2006-12-28 |
1508964123 | Alegent Health Community Memorial Hospital of Missouri Valley, Iowa | General Acute Care Hospital | 631 N 8th St, Missouri Valley, IA 51555-1102 | 2006-09-20 |
1831296052 | Ellsworth Municipal Hospital | General Acute Care Hospital | 920 South Oak St., Iowa Falls, IA 50126-9506 | 2006-09-20 |
1376650994 | Va Central Iowa Health Care System | General Acute Care Hospital | 3600 30th St., Des Moines, IA 50310-5774 | 2006-08-23 |
1831102557 | Central Community Hospital | General Acute Care Hospital | 901 Davidson St Nw, Elkader, IA 52043-9015 | 2006-08-14 |
1184645434 | Central Community Hospital | General Acute Care Hospital | 901 Davidson Street Nw, Elkader, IA 52043-9015 | 2006-07-22 |
1851327563 | Baum-harmon Mercy Hospital | General Acute Care Hospital | 255 N Welch Ave., Primghar, IA 51245-0528 | 2006-06-24 |
1295702397 | Hamilton County Public Hospital | General Acute Care Hospital | 2350 Hospital Drive, Webster City, IA 50595-6600 | 2006-03-07 |
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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.