OSCEOLA COMMUNITY HEALTH SERVICES (NPI# 1093232605) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1093232605 |
Entity Type | Organization |
Organization Name | OSCEOLA COMMUNITY HEALTH SERVICES |
Practice Address |
115 Cedar Lane Sibley IA 51249-0258 |
Practice Telephone | 7127544611 |
Practice Fax Number | 7127544612 |
Mailing Telephone | 7127544611 |
Mailing Fax Number | 7127544612 |
Enumeration Date | 2017-08-24 |
Last Update Date | 2017-08-24 |
Authorized Official Name | BENJAMIN EUGENE DAVIS (CEO) |
Authorized Official Telephone | 7127542574 |
Is Organization Subpart | Y |
Parent Organization Name | OSCEOLA COMMUNITY HOSPITAL |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
N | 364SH0200X |
Clinical Nurse Specialist Specialization: Home Health |
167177 | IA | Physician Assistants & Advanced Practice Nursing Providers |
Y | 364SC1501X |
Clinical Nurse Specialist Specialization: Community Health/Public Health |
Physician Assistants & Advanced Practice Nursing Providers |
State | Issuer | Identifier | Type Code |
---|---|---|---|
IA | 0671776 | 05 |
Entity Type | Entity Name | Entity Address |
---|---|---|
System for Award Management (SAM) Entities | OSCEOLA COMMUNITY HEALTH SERVICES | 1877 Fortune Rd, Kissimmee, FL 34744-4428 |
Street Address |
115 CEDAR LANE |
City | SIBLEY |
State | IA |
Zip Code | 51249-0258 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1346213659 | Care Initiatives | Skilled Nursing Facility | 700 9th Ave N, Sibley, IA 51249-1006 | 2006-02-08 |
1316565625 | Rural Health Care, Inc. | Clinic/Center | 600 9th Ave N Ste 1, Sibley, IA 51249-1012 | 2020-07-13 |
1124026489 | Family Medicine Clinic | Family Medicine | 600 9th Ave N, Sibley, IA 51249-1012 | 2005-07-11 |
1205347978 | Samantha Van Gorp | Nurse Practitioner | 600 9th Ave N, Sibley, IA 51249-1012 | 2017-10-20 |
1689074114 | Tasha Jennings | Nurse Practitioner | 600 9th Ave N, Sibley, IA 51249-1012 | 2014-09-03 |
1417250762 | Avera Mckennan | Physician Assistant | 600 9th Ave N, Sibley, IA 51249-1012 | 2010-12-08 |
1992023642 | Family Medicine Clinic | Physician Assistant | 600 9th Ave N, Sibley, IA 51249-1012 | 2010-05-05 |
1942442678 | Iowa Lakes Orthopaedics, PC | Orthopaedic Surgery | 600 9th Ave N, Sibley, IA 51249-1012 | 2009-03-26 |
1891959839 | Rachel R Wilcinot | Family Medicine | 600 9th Ave N, Sibley, IA 51249-1012 | 2008-07-17 |
1861560609 | Osceola Community Hospital Inc | Medicare Defined Swing Bed Unit | 600 9th Ave N, Sibley, IA 51249-1012 | 2006-12-01 |
Find all providers in zip 51249 |
Taxonomy Code | 364SC1501X |
Grouping | Physician Assistants & Advanced Practice Nursing Providers |
Classification | Clinical Nurse Specialist |
Specialization | Community Health/Public Health |
Definition to come... |
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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.