WAYNE COUNTY HOSPITAL (NPI# 1104125822) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1104125822 |
| Entity Type | Organization |
| Organization Name | WAYNE COUNTY HOSPITAL |
| Other Organization Name | SOUTH CENTRAL IOWA MEDICAL CLINIC |
| Practice Address |
417 S East St Suite 100 Corydon IA 50060-1860 |
| Mailing Address |
Po Box 305 Corydon IA 50060-0305 |
| Practice Telephone | 6418722063 |
| Practice Fax Number | 6418722070 |
| Mailing Telephone | 6418725351 |
| Mailing Fax Number | 6418723116 |
| Enumeration Date | 2011-03-21 |
| Last Update Date | 2017-11-21 |
| Authorized Official Name | DAREN L RELPH (CHIEF EXECUTIVE OFFICER) |
| Authorized Official Telephone | 6418722260 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 367A00000X | Advanced Practice Midwife | Physician Assistants & Advanced Practice Nursing Providers | ||
| N | 207Q00000X | Family Medicine | Allopathic & Osteopathic Physicians | ||
| N | 363A00000X | Physician Assistant | Physician Assistants & Advanced Practice Nursing Providers | ||
| N | 363LF0000X |
Nurse Practitioner Specialization: Family |
Physician Assistants & Advanced Practice Nursing Providers | ||
| Y | 261QR1300X |
Clinic/Center Specialization: Rural Health |
Ambulatory Health Care Facilities |
| Other Name | Type Code |
|---|---|
| South Central Iowa Medical Clinic | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1275825838 | Wayne County Hospital | Family Medicine | 109 Broad St, Humeston, IA 50123-7736 | 2011-05-13 |
| 1457902314 | Wayne County Hospital | Pharmacy | 510 E Jefferson St Ste A, Corydon, IA 50060-1812 | 2019-09-23 |
| 1326209198 | Wayne County Hospital | Dentist | 100 E South St, Corydon, IA 50060-1724 | 2008-06-24 |
| 1235308958 | Wayne County Hospital | Surgery | 417 S East St, Corydon, IA 50060-1860 | 2008-02-27 |
| 1992973382 | Wayne County Hospital | Nurse Anesthetist, Certified Registered | 417 S East St, Corydon, IA 50060-1860 | 2008-02-19 |
| 1780873919 | Wayne County Hospital | Nurse Practitioner | 515 W Wall St, Seymour, IA 52590-1333 | 2007-10-24 |
| 1932325966 | Wayne County Hospital | Nurse Anesthetist, Certified Registered | 417 S East St, Corydon, IA 50060-1860 | 2007-04-18 |
| 1740406776 | Wayne County Hospital | Advanced Practice Midwife | 417 S East St, Corydon, IA 50060-1860 | 2007-04-18 |
| 1457421554 | Wayne County Hospital | Medicare Defined Swing Bed Unit | 417 S East St, Corydon, IA 50060-1860 | 2006-11-08 |
| 1669566824 | Wayne County Hospital | Clinic/Center | 417 S East St, Corydon, IA 50060-1860 | 2006-10-03 |
| Street Address |
417 S EAST ST SUITE 100 |
| City | CORYDON |
| State | IA |
| Zip Code | 50060-1860 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1285627323 | Babar S. Ahmed | Family Medicine | 417 S East St, Corydon, IA 50060-1860 | 2005-08-24 |
| 1265042055 | Adam Rowland | Nurse Practitioner | 417 S East St, Corydon, IA 50060-1860 | 2020-08-06 |
| 1649880451 | Angela M Downs | Nurse Practitioner | 417 S East St, Corydon, IA 50060-1835 | 2020-08-06 |
| 1114568870 | Kelcey Diane Leopard | Registered Nurse | 417 S East St, Corydon, IA 50060-1835 | 2019-10-03 |
| 1740764661 | Cortney Serene Wilson | Specialist/Technologist, Other | 417 S East St, Corydon, IA 50060-1860 | 2018-09-17 |
| 1386149680 | Rachel Mcilwain | Dietitian, Registered | 417 S East St, Corydon, IA 50060-1835 | 2018-03-28 |
| 1174937494 | Stephanie Jo Perkins Mahan | Family Medicine | 417 S East St, Corydon, IA 50060-1860 | 2014-06-14 |
| 1730518150 | Southern Iowa Orthopedics LLC | Podiatrist | 417 S East St, Corydon, IA 50060-1860 | 2013-11-06 |
| 1447500418 | Lk Madison Md LLC | Radiology | 417 S East St, Corydon, IA 50060-1860 | 2012-09-17 |
| 1457608911 | Nicole Marie Ruble | Physician Assistant | 417 S East St, Corydon, IA 50060-1860 | 2012-08-14 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1922214246 | Deborah Nadarevic | Pharmacist | Your Neighborhood Pharmacy, 510 E. Jefferson Street Suite A, Corydon, IA 50060 | 2007-05-15 |
| 1669697074 | Community Health Centers of Southern Iowa, Inc | Clinic/Center | 102-104 North Franklin St, Corydon, IA 50060 | 2007-04-13 |
| 1336290030 | Wolfe Clinic Eye Centers, Lc | Eyewear Supplier (Equipment, not the service) | 212 N Franklin Street, Corydon, IA 50060 | 2007-01-16 |
| 1912067455 | C and J Quality Jobs LLC | Contractor | 610 West Maple St, Corydon, IA 50060 | 2006-12-12 |
| 1417941188 | Debra Kay Neuharth | Family Medicine | 410 South Lincoln St, Corydon, IA 50060 | 2005-09-08 |
| 1922090752 | Charles A Clark | Optometrist | 212 N Franklin St, Corydon, IA 50060-1328 | 2005-08-18 |
| 1255488938 | Wayne Community School District | Local Education Agency (LEA) | 102 N Dekalb St, Corydon, IA 50060-1403 | 2007-01-04 |
| 1720607401 | Duane P Schmaltz | Pharmacist | 105 E Jackson St, Corydon, IA 50060-1408 | 2020-04-13 |
| 1669887642 | Hy Vee Inc | Pharmacy | 105 E Jackson St, Corydon, IA 50060-1408 | 2014-06-27 |
| 1336132588 | Corydon Pharmacy Inc | Pharmacy | 104 S Franklin St, Corydon, IA 50060-1518 | 2005-08-23 |
| Find all providers in zip 50060 | ||||
| Taxonomy Code | 261QR1300X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Rural Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1174091771 | Baptist Health Medical Group Inc | Clinic/Center | 313 Federal Dr Nw Ste 130, Corydon, IN 47112-3099 | 2018-11-13 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1881294536 | Jefferson County Hospital | Clinic/Center | 107 W Harrison St, Richland, IA 52585-9549 | 2020-10-30 |
| 1255930178 | Humboldt County Memorial Hospital | Clinic/Center | 1000 15th St N Ste C, Humboldt, IA 50548-1008 | 2020-10-21 |
| 1104440809 | Regional Health Services of Howard County | Clinic/Center | 600 Busti Ave, Elma, IA 50628-8090 | 2020-05-29 |
| 1255977740 | Unitypoint Health - Marshalltown | Clinic/Center | 101 E J Ave Ste 120, Grundy Center, IA 50638-2006 | 2019-11-20 |
| 1326690082 | Unity Healthcare | Clinic/Center | 1518 Mulberry Ave Ste 201, Muscatine, IA 52761-3433 | 2019-07-12 |
| 1457825192 | Greene County Medical Center | Clinic/Center | 1000 W Lincoln Way Ste 100, Jefferson, IA 50129-1645 | 2019-01-16 |
| 1427548148 | Iowa Physicians Clinic Medical Foundation | Clinic/Center | 1518 Mulberry Ave Ste 202, Muscatine, IA 52761-3433 | 2018-05-17 |
| 1194215269 | Iowa Physicians Clinic Medical Foundation | Clinic/Center | 3426 N Port Dr Ste 200, Muscatine, IA 52761 | 2018-05-15 |
| 1659872927 | Henry County Soldiers' and Sailors' Memorial Hospital | Clinic/Center | 227 W Main St Ste 1, Wayland, IA 52654-7615 | 2018-02-22 |
| 1447778170 | Trinity Regional Medical Center | Clinic/Center | 804 Kenyon Rd Ste D, Fort Dodge, IA 50501-5744 | 2017-09-01 |
| 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.