BUENA VISTA REGIONAL MEDICAL CENTER (NPI# 1164593109) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1164593109 |
| Entity Type | Organization |
| Organization Name | BUENA VISTA REGIONAL MEDICAL CENTER |
| Other Organization Name | ER PHYSICIAN GROUP |
| Practice Address |
1525 W 5th St Storm Lake IA 50588-3027 |
| Mailing Address |
1525 W 5th St Po Box 309 Storm Lake IA 50588-3027 |
| Practice Telephone | 7127324030 |
| Practice Fax Number | 7122131233 |
| Mailing Telephone | 7127324030 |
| Mailing Fax Number | 7122131233 |
| Enumeration Date | 2006-11-13 |
| Last Update Date | 2011-07-08 |
| Authorized Official Name | MRS. KRISTA L KETCHAM (CFO) |
| Authorized Official Telephone | 7122138603 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207PE0004X |
Emergency Medicine Specialization: Emergency Medical Services |
166H | IA | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| IA | WELLMARK GROUP NUMBER | 12089 | 01 |
| IN | 0097956 | 05 |
| Other Name | Type Code |
|---|---|
| ER Physician Group | Other Name - Individual/Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1043269780 | Buena Vista Regional Medical Center | Home Health | 1305 W Milwaukee Ave, Storm Lake, IA 50588-2904 | 2006-05-09 |
| 1902948292 | Buena Vista Regional Medical Center | Radiology | 1525 W 5th St, Storm Lake, IA 50588-3027 | 2007-02-13 |
| 1821154220 | Buena Vista Regional Medical Center | Durable Medical Equipment & Medical Supplies | 620 Northwestern Dr, Pod 2, Storm Lake, IA 50588-2935 | 2006-12-29 |
| 1922164227 | Buena Vista Regional Medical Center | Ambulance | 1525 W 5th St, Storm Lake, IA 50588-3027 | 2006-12-29 |
| 1568528966 | Buena Vista Regional Medical Center | Durable Medical Equipment & Medical Supplies | 1525 W 5th St, Storm Lake, IA 50588-3027 | 2006-12-29 |
| 1467518860 | Buena Vista Regional Medical Center | Personal Emergency Response Attendant | 1525 W 5th St, Storm Lake, IA 50588-3027 | 2006-12-29 |
| 1578629879 | Buena Vista Regional Medical Center | Home Infusion | 1525 W 5th St, Storm Lake, IA 50588-3027 | 2006-12-29 |
| 1780755728 | Buena Vista Regional Medical Center | Nurse Practitioner | 1525 W 5th St, Storm Lake, IA 50588-3027 | 2006-11-13 |
| 1952350696 | Buena Vista Regional Medical Center | Hospice Care, Community Based | 1305 W Milwaukee Ave, Storm Lake, IA 50588-2904 | 2006-05-09 |
| 1316995798 | Buena Vista Regional Medical Center | Psychiatric Unit | 1525 W 5th St, Storm Lake, IA 50588-3027 | 2006-05-05 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| System for Award Management (SAM) Entities | BUENA VISTA REGIONAL MEDICAL CENTER | 1525 W 5th St, Storm Lake, IA 50588-3027 |
| Street Address |
1525 W 5TH ST |
| City | STORM LAKE |
| State | IA |
| Zip Code | 50588-3027 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1306828116 | Ingrid E Franze | Radiology | 1525 W 5th St, Storm Lake, IA 50588-3027 | 2005-11-17 |
| 1114542834 | Angela Christine Boll | Nurse Anesthetist, Certified Registered | 1525 W 5th St, Storm Lake, IA 50588-3027 | 2020-06-09 |
| 1457713828 | Austin Douglas Langel | Nurse Anesthetist, Certified Registered | 1525 W 5th St, Storm Lake, IA 50588 | 2016-03-24 |
| 1174991053 | North Central Iowa Mental Health Center Inc | Clinic/Center | 1525 W 5th St, Storm Lake, IA 50588-3027 | 2015-09-09 |
| 1851709703 | Jamie L Grieme | Dietitian, Registered | 1525 W 5th St, Storm Lake, IA 50588-3027 | 2014-07-23 |
| 1346658291 | Patricia M Grotjohn | Dietitian, Registered | 1525 W 5th St, Storm Lake, IA 50588-3027 | 2014-07-23 |
| 1659711349 | Garrett James Feddersen | Family Medicine | 1525 W 5th St, Storm Lake, IA 50588 | 2013-06-27 |
| 1902241474 | Gabriel John Scheer | Nurse Anesthetist, Certified Registered | 1525 W 5th St, Storm Lake, IA 50588 | 2013-05-09 |
| 1053754663 | Trimark Physicians Group | Durable Medical Equipment & Medical Supplies | 1525 W 5th St, Storm Lake, IA 50588-3027 | 2013-04-12 |
| 1740540640 | Russell Chrischilles | Physical Therapy Assistant | 1525 W 5th St, Storm Lake, IA 50588-3027 | 2012-05-24 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1093327173 | Joanne Alvorez | Social Worker | 728 Erie Street, Storm Lake, IA 50588 | 2020-08-19 |
| 1023481165 | Krauth Anesthesia Services LLC | Nurse Anesthetist, Certified Registered | 1 Colonial Circle, Storm Lake, IA 50588 | 2015-11-12 |
| 1992129605 | Martin Health Services LLC | Pharmacy | 1229 Lake Ave, Storm Lake, IA 50588 | 2014-02-17 |
| 1487948824 | John Gary Armstrong | Surgery | 210 East 5th St, Storm Lake, IA 50588 | 2011-06-02 |
| 1235447871 | New Directions for Mental Health, LLC | Social Worker | 808 Michigan St., Suite A, Storm Lake, IA 50588 | 2010-09-16 |
| 1659555225 | Hy Vee Inc | Pharmacy | 606 Lake Avenue, Suite A, Storm Lake, IA 50588 | 2007-12-19 |
| 1134311616 | Madison County Medical Equipment Inc | Durable Medical Equipment & Medical Supplies | 1624 Lake Ave Ste 1, Storm Lake, IA 50588 | 2007-08-17 |
| 1356402754 | Rex Michael Shearer | Dentist | 217 West 6th, Storm Lake, IA 50588 | 2006-12-12 |
| 1639242209 | Gregory G Hansen | Dentist | 217 West 6th Street, Storm Lake, IA 50588 | 2006-11-15 |
| 1174536585 | Rick Alan Martin | Dentist | 720 Tornado Drive, Storm Lake, IA 50588 | 2006-08-15 |
| Find all providers in zip 50588 | ||||
| Taxonomy Code | 207PE0004X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Emergency Medicine |
| Specialization | Emergency Medical Services |
| An emergency medicine physician who specializes in non-hospital based emergency medical services (e.g., disaster site, accident scene, transport vehicle, etc.) to provide pre-hospital assessment, treatment, and transport patients. |
| Notes: Source: National Uniform Claim Committee, 2009 [1/1/2010: definition added, source added] Additional Resources: A Certification of Added Qualifications (CAQ) is issued by the American Osteopathic Board of Emergency Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1538140405 | Thomas Joseph Kafka | Emergency Medicine | Regional Medical Center, 709 West Main St., Manchester, IA 52057 | 2005-11-08 |
| 1477543668 | Michael M Rosenblatt | Emergency Medicine | 1605 Haskell St, Burlington, IA 52601-1406 | 2005-10-27 |
| 1972098150 | Amanda Sieve | Emergency Medicine | 1200 Pleasant St, Des Moines, IA 50309-1406 | 2018-06-29 |
| 1508374927 | Kari Lynn Tessum | Emergency Medicine | 802 Kenyon Rd, Fort Dodge, IA 50501-5740 | 2018-01-19 |
| 1629312723 | Ottumwa Er LLC | Emergency Medicine | 1001 Pennsylvania Ave, Ottumwa, IA 52501-6427 | 2012-11-15 |
| 1902162191 | Sarah Wolf Field | Emergency Medicine | 500 E Market St, Iowa City, IA 52245 | 2012-04-02 |
| 1235422056 | Brian Michael Kuchay | Emergency Medicine | 621 S Illinois Ave, Mason City, IA 50401-5405 | 2011-05-26 |
| 1497953350 | Heather Noel Stein Poskevich | Emergency Medicine | 1111 6th Ave, Des Moines, IA 50314-2613 | 2007-07-03 |
| 1689705949 | Jackson County Public Hospital | Emergency Medicine | 700 W Grove St, Maquoketa, IA 52060-2163 | 2007-03-08 |
| 1326073669 | Delaware County Memorial Hospital | Emergency Medicine | 709 W Main St, Manchester, IA 52057-1526 | 2006-07-12 |
| Find all providers with the same taxonomy | ||||
| City | STORM LAKE |
| Zip Code | 50588 |
Please comment or provide details below to improve the information on BUENA VISTA REGIONAL MEDICAL CENTER.
| 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.