SHENANDOAH MEDICAL CENTER (NPI# 1194079954) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1194079954 |
| Entity Type | Organization |
| Organization Name | SHENANDOAH MEDICAL CENTER |
| Practice Address |
300 Pershing Ave Shenandoah IA 51601-2355 |
| Practice Telephone | 7122461230 |
| Practice Fax Number | 7122467357 |
| Mailing Telephone | 7122461230 |
| Mailing Fax Number | 7122467357 |
| Enumeration Date | 2012-11-01 |
| Last Update Date | 2012-11-01 |
| Authorized Official Name | KAREN COLE (CEO) |
| Authorized Official Telephone | 7122461230 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 332B00000X | Durable Medical Equipment & Medical Supplies | 730065H | IA | Suppliers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1467841726 | Shenandoah Medical Center | Internal Medicine | 101 E Reed St, Red Oak, IA 51566 | 2015-01-09 |
| 1558766956 | Shenandoah Medical Center | Clinic/Center | 527 Iowa Ave, Essex, IA 51638-8076 | 2014-10-28 |
| 1790840239 | Shenandoah Medical Center | Home Health | 300 Park Avenue, Shenandoah, IA 51601-2355 | 2006-12-26 |
| 1700941648 | Shenandoah Medical Center | Clinic/Center | 802 Illinois St, Sidney, IA 51652-0217 | 2006-12-22 |
| 1609862887 | Shenandoah Medical Center | Nursing Facility/Intermediate Care Facility | 1203 S Elm St, Shenandoah, IA 51601-2221 | 2005-09-23 |
| 1184621096 | Shenandoah Medical Center | General Acute Care Hospital | 300 Pershing Ave, Shenandoah, IA 51601-2355 | 2005-07-07 |
| 1508487547 | Shenandoah Medical Center | Clinic/Center | 713 Main St, Tabor, IA 51653-2031 | 2020-04-30 |
| 1174908362 | Shenandoah Medical Center | Internal Medicine | 300 Pershing Ave, Shenandoah, IA 51601-2355 | 2015-07-29 |
| 1184021602 | Shenandoah Medical Center | Hospitalist | 300 Pershing Ave, Shenandoah, IA 51601-2355 | 2014-11-26 |
| 1497150825 | Shenandoah Medical Center | Clinic/Center | 802 Illinois St, Sidney, IA 51652-8028 | 2014-10-28 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| System for Award Management (SAM) Entities | SHENANDOAH MEDICAL CENTER | 300 Pershing Ave, Shenandoah, IA 51601-2355 |
| Iowa Business Entities | SHENANDOAH MEDICAL CENTER | 300 Pershing Ave., Shenandoah, IA 51601 |
| Iowa Business Entities | SHENANDOAH MEDICAL CENTER FOUNDATION | 300 Pershing Ave, Shenandoah, IA 51601 |
| Street Address |
300 PERSHING AVE |
| City | SHENANDOAH |
| State | IA |
| Zip Code | 51601-2355 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1184621096 | Shenandoah Medical Center | General Acute Care Hospital | 300 Pershing Ave, Shenandoah, IA 51601-2355 | 2005-07-07 |
| 1952914566 | Dena Herzberg | Nurse Practitioner | 300 Pershing Ave, Shenandoah, IA 51601-2355 | 2020-08-25 |
| 1104317379 | Denise J Mcenaney | Dietitian, Registered | 300 Pershing Ave, Shenandoah, IA 51601-2355 | 2018-05-23 |
| 1730697681 | Jessica Anne Heitkamp | Nurse Practitioner | 300 Pershing Ave, Shenandoah, IA 51601-2355 | 2018-01-12 |
| 1073964854 | Ashlee Jo Richardson | Physical Therapist | 300 Pershing Ave, Shenandoah, IA 51601-2355 | 2016-06-23 |
| 1447609300 | Logan J Kopf | Nurse Anesthetist, Certified Registered | 300 Pershing Ave, Shenandoah, IA 51601-2355 | 2016-06-10 |
| 1154797876 | Shala Davidson | Nutritionist | 300 Pershing Ave, Shenandoah, IA 51601-2355 | 2015-08-17 |
| 1174908362 | Shenandoah Medical Center | Internal Medicine | 300 Pershing Ave, Shenandoah, IA 51601-2355 | 2015-07-29 |
| 1184021602 | Shenandoah Medical Center | Hospitalist | 300 Pershing Ave, Shenandoah, IA 51601-2355 | 2014-11-26 |
| 1073874343 | Stephanie Eide | Occupational Therapist | 300 Pershing Ave, Shenandoah, IA 51601-2355 | 2012-06-04 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1336589969 | Jenifer Ann Deziel | Nurse Practitioner | Shenandoah Medical Center, 300 Pershing Avenue, Shenandoah, IA 51601 | 2013-06-27 |
| 1154621282 | Md West One, PC | Neurological Surgery | 1 Jack Foster Drive, Shenandoah, IA 51601 | 2010-10-22 |
| 1912119124 | Swfac Plc | Podiatrist | 813 Church St., Shenandoah, IA 51601 | 2007-05-03 |
| 1134246895 | David Carroll Dickson | Pedorthist | 612 W. Sheridan Avenue, Shenandoah, IA 51601 | 2007-03-26 |
| 1558433037 | Joseph Patrick Emge | Dentist | 301 Maple St, Suite 3, Shenandoah, IA 51601 | 2006-11-14 |
| 1487766309 | Scott Richard King | Obstetrics & Gynecology | 300 Pershing Avenue, Shenandoah, IA 51601 | 2006-08-31 |
| 1801904933 | Marvin E Belknap | Dentist | 617 West Thomas, Shenandoah, IA 51601 | 2006-08-28 |
| 1083687636 | Charles J Peterson Dc PC | Chiropractor | 1203 W Sheridan Ave, Shenandoah, IA 51601 | 2006-02-13 |
| 1467692152 | Carol A Stehlik | Nutritionist | 300 Pershing Avenue, Shenandoah, IA 51601-0382 | 2009-02-20 |
| 1265526248 | Nishna Productions, Inc. | Community/Behavioral Health | 902 Day St, Shenandoah, IA 51601-1106 | 2006-10-03 |
| Find all providers in zip 51601 | ||||
| Taxonomy Code | 332B00000X |
| Grouping | Suppliers |
| Classification | Durable Medical Equipment & Medical Supplies |
| A supplier of medical equipment such as respirators, wheelchairs, home dialysis systems, or monitoring systems, that are prescribed by a physician for a patient’s use in the home and that are usable for an extended period of time. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1538527593 | J & R Furniture and Carpet | Durable Medical Equipment & Medical Supplies | 1215 W Nishna Rd, Shenandoah, IA 51601-2115 | 2016-02-05 |
| 1932517091 | Duramed Services LLC | Durable Medical Equipment & Medical Supplies | 114 Vision Park Blvd Ste 102, Shenandoah, TX 77384-3008 | 2014-07-31 |
| 1952586976 | Hy Vee Inc | Durable Medical Equipment & Medical Supplies | 500 S Fremont St, Shenandoah, IA 51601-1508 | 2008-01-09 |
| 1083797617 | A-med Inc | Durable Medical Equipment & Medical Supplies | 19073 I-45 S, #195, Shenandoah, TX 77385-8743 | 2006-10-24 |
| 1417963869 | Walgreen Co | Durable Medical Equipment & Medical Supplies | 19215 Interstate 45 S, Shenandoah, TX 77385-8755 | 2006-07-31 |
| 1093732471 | Walmart Inc. | Durable Medical Equipment & Medical Supplies | 705 S Fremont St, Shenandoah, IA 51601-2101 | 2006-07-16 |
| 1922025055 | Sams East Inc | Durable Medical Equipment & Medical Supplies | 19091 Interstate 45 S, Shenandoah, TX 77385-8748 | 2006-07-16 |
| 1649275835 | Redner's Markets, Inc. | Durable Medical Equipment & Medical Supplies | 3 Gold Star Plz, Shenandoah, PA 17976-2530 | 2005-06-15 |
| 1356873418 | Durequip Services | Durable Medical Equipment & Medical Supplies | 114 Vision Park Blvd Ste 102, Shenandoah, TX 77384-3008 | 2017-03-29 |
| 1578770699 | Shenandoah Memorial Hospital Dme | Durable Medical Equipment & Medical Supplies | 300 Pershing Ave, Shenandoah, IA 51601-2355 | 2007-05-17 |
| Find all providers in SHENANDOAH | ||||
| City | SHENANDOAH |
| Zip Code | 51601 |
Please comment or provide details below to improve the information on SHENANDOAH 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.