GRUNDY COUNTY MEMORIAL HOSPITAL (NPI# 1114012085) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1114012085 |
| Entity Type | Organization |
| Organization Name | GRUNDY COUNTY MEMORIAL HOSPITAL |
| Other Organization Name | GCMH PROFESSIONAL SERVICES |
| Practice Address |
201 E J Ave Grundy Center IA 50638-2096 |
| Practice Telephone | 3198245421 |
| Practice Fax Number | 3198246291 |
| Mailing Telephone | 3198245421 |
| Mailing Fax Number | 3198246291 |
| Enumeration Date | 2006-10-04 |
| Last Update Date | 2013-03-07 |
| Authorized Official Name | LISA A. ZINKULA (CFO) |
| Authorized Official Telephone | 3198245082 |
| Is Organization Subpart | Y |
| Parent Organization Name | GRUNDY COUNTY MEMORIAL HOSPITAL |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 207X00000X | Orthopaedic Surgery | Allopathic & Osteopathic Physicians | ||
| N | 363A00000X | Physician Assistant | Physician Assistants & Advanced Practice Nursing Providers | ||
| N | 367500000X | Nurse Anesthetist, Certified Registered | Physician Assistants & Advanced Practice Nursing Providers | ||
| Y | 207P00000X | Emergency Medicine | Allopathic & Osteopathic Physicians |
| Other Name | Type Code |
|---|---|
| GCMH Professional Services | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1689211146 | Grundy County Memorial Hospital | Nutritionist | 201 E J Ave, Grundy Center, IA 50638-2096 | 2019-12-04 |
| 1821055989 | Grundy County Memorial Hospital | General Acute Care Hospital | 201 E J Ave, Grundy Center, IA 50638-2096 | 2006-05-01 |
| 1427015585 | Grundy County Memorial Hospital | Medicare Defined Swing Bed Unit | 201 E J Ave, Grundy Center, IA 50638-2096 | 2006-05-01 |
| Street Address |
201 E J AVE |
| City | GRUNDY CENTER |
| State | IA |
| Zip Code | 50638-2096 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1841288917 | Grundy Co Memorial Hospital Long Term Care | Nursing Facility/Intermediate Care Facility | 201 E J Ave, Grundy Center, IA 50638-2028 | 2005-10-12 |
| 1689211146 | Grundy County Memorial Hospital | Nutritionist | 201 E J Ave, Grundy Center, IA 50638-2096 | 2019-12-04 |
| 1659881597 | Crystal Lynn Petersen | Dietitian, Registered | 201 E J Ave, Grundy Center, IA 50638-2028 | 2017-10-05 |
| 1508269796 | Wendy Brewer | Dietitian, Registered | 201 E J Ave, Grundy Center, IA 50638-2028 | 2014-10-01 |
| 1609127737 | Cedar Valley Medical Specialists, PC | Durable Medical Equipment & Medical Supplies | 201 E J Ave, Grundy Center, IA 50638-2028 | 2012-09-28 |
| 1801164488 | Northland Hearing Centers, Inc. | Audiologist-Hearing Aid Fitter | 201 E J Ave, Grundy Center, IA 50638-2028 | 2011-12-09 |
| 1821055989 | Grundy County Memorial Hospital | General Acute Care Hospital | 201 E J Ave, Grundy Center, IA 50638-2096 | 2006-05-01 |
| 1427015585 | Grundy County Memorial Hospital | Medicare Defined Swing Bed Unit | 201 E J Ave, Grundy Center, IA 50638-2096 | 2006-05-01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1942645056 | John Robert Jansen | Technician/Technologist | 613 G Ave, Grundy Center, IA 50638 | 2013-05-02 |
| 1184818312 | Margo Leann Eichholz | Specialist | 102 E. J. Ave, Grundy Center, IA 50638 | 2007-08-30 |
| 1033265228 | City of Grundy Center | Ambulance | 507 F Avenue, Grundy Center, IA 50638 | 2007-01-28 |
| 1770576050 | Douglas M Cooper | Orthopaedic Surgery | 201 E J Avenue, Grundy Center, IA 50638 | 2005-08-23 |
| 1790140234 | Sportsplus Physical Therapy Gc LLC | Clinic/Center | 606 E 1st St, Grundy Center, IA 50638 | 2015-12-29 |
| 1225546948 | Creekside, Inc | Nursing Facility/Intermediate Care Facility | 503 Wical Way, Grundy Center, IA 50638-0000 | 2018-01-16 |
| 1922055748 | Dennis Duane Brubaker | Dentist | 1403 G Ave, Grundy Center, IA 50638-1035 | 2006-05-27 |
| 1245227743 | Charles J Latendresse | Family Medicine | 1506 G Ave, Grundy Center, IA 50638-1038 | 2005-09-30 |
| 1407030513 | Charles J Latendresse | Family Medicine | 1506 G Ave, Grundy Center, IA 50638-1038 | 2007-12-26 |
| 1124402748 | Dana Christopher Schmidt | Physical Therapist | 1003 I Ave, Grundy Center, IA 50638-1144 | 2015-07-14 |
| Find all providers in zip 50638 | ||||
| Taxonomy Code | 207P00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Emergency Medicine |
| An emergency physician focuses on the immediate decision making and action necessary to prevent death or any further disability both in the pre-hospital setting by directing emergency medical technicians and in the emergency department. The emergency physician provides immediate recognition, evaluation, care, stabilization and disposition of a generally diversified population of adult and pediatric patients in response to acute illness and injury. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: mofified source] - Additional Resources: American Board of Emergency Medicine, 2007. http://www.abem.org/public/; American Osteopathic Board of Emergency Medicine, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Emergency Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Emergency Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1275151003 | Linn County Emergency Medicine PC | Emergency Medicine | 1195 Boyson Rd Ste 101, Hiawatha, IA 52233-2218 | 2020-07-08 |
| 1245795087 | Gabriel Alejandro Hernandez Roman | Emergency Medicine | 200 Hawkins Dr Dept of Emergency Medicine, Iowa Cit, IA 52242-1009 | 2019-02-06 |
| 1821527862 | Ashley Nicole Evans | Emergency Medicine | 420 Community Dr, North Liberty, IA 52317-6706 | 2017-06-04 |
| 1457715047 | Benjamin Rezny | Emergency Medicine | 200 Hawkins Dr Dept of Anesthesia, Iowa City, IA 52242-1009 | 2016-04-08 |
| 1407293236 | Austin Koch | Emergency Medicine | 200 Hawkins Drive, 1008 Rcp, Uihc - Emergency Medicine, Iowa City, IA 52242 | 2013-06-03 |
| 1588900880 | Ottumwa Er LLC | Emergency Medicine | 1001 Pennsylvania Avenue, Ottumwa, IA 52501 | 2012-12-14 |
| 1336403419 | William E Kettelkamp | Emergency Medicine | 2760 E Robins Rd, Marion, IA 52302-9525 | 2012-07-03 |
| 1578827465 | Sandy Kay Clayton | Emergency Medicine | 901 Montgomery St., Medical Staff Services, Decorah, IA 52101-2325 | 2012-06-26 |
| 1821356015 | Brandon Charles Whalen | Emergency Medicine | 200 Hawkins Dr, 1008 Rcp, Iowa City, IA 52242 | 2012-04-25 |
| 1730407545 | Randall Glen Wood | Emergency Medicine | 2720 Stone Park Blvd., Sioux City, IA 51104 | 2010-05-04 |
| Find all providers with the same taxonomy | ||||
| City | GRUNDY CENTER |
| Zip Code | 50638 |
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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.