STEWART MEMORIAL COMMUNITY HOSPITAL (NPI# 1215155080) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1215155080 |
| Entity Type | Organization |
| Organization Name | STEWART MEMORIAL COMMUNITY HOSPITAL |
| Other Organization Name | MCCRARY-ROST CLINIC SURGEONS |
| Practice Address |
1351 W Main St Lake City IA 51449-1585 |
| Practice Telephone | 7124644229 |
| Practice Fax Number | 7124647412 |
| Enumeration Date | 2007-04-24 |
| Last Update Date | 2007-07-08 |
| Authorized Official Name | RUSS GARDNER (VICE PRESIDENT OF CLINIC SERVICES) |
| Authorized Official Telephone | 7124644229 |
| Authorized Official Credential | MBA, CMPE |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QM2500X |
Clinic/Center Specialization: Medical Specialty |
IA | Ambulatory Health Care Facilities |
| Other Name | Type Code |
|---|---|
| McCrary-Rost Clinic Surgeons | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1518943083 | Stewart Memorial Community Hospital | Pharmacy | 1321 W Main St, Lake City, IA 51449-1585 | 2005-12-16 |
| 1184609927 | Stewart Memorial Community Hospital | Pharmacy | 507 E Lake St, Rockwell City, IA 50579-1711 | 2005-12-14 |
| 1063497188 | Stewart Memorial Community Hospital | General Acute Care Hospital | 1301 W Main St, Lake City, IA 51449-1585 | 2005-12-12 |
| 1316240104 | Stewart Memorial Community Hospital | Social Worker | 505 E Lake St, Rockwell City, IA 50579-1711 | 2010-12-16 |
| 1164617619 | Stewart Memorial Community Hospital | Nurse Practitioner | 24 S Main St, Dayton, IA 50530-7698 | 2007-09-07 |
| 1396887394 | Stewart Memorial Community Hospital | General Acute Care Hospital | 1301 W Main St, Lake City, IA 51449-1585 | 2007-02-13 |
| 1013058924 | Stewart Memorial Community Hospital | Nurse Practitioner | 1301 W Main St, Lake City, IA 51449-1585 | 2007-02-12 |
| 1740321652 | Stewart Memorial Community Hospital | Nurse Practitioner | 1301 W Main St, Lake City, IA 51449-1585 | 2007-02-12 |
| 1659412567 | Stewart Memorial Community Hospital | Durable Medical Equipment & Medical Supplies | 1301 W Main St, Lake City, IA 51449-1585 | 2007-02-12 |
| 1831230747 | Stewart Memorial Community Hospital | Dietitian, Registered | 1301 W Main St, Lake City, IA 51449-1585 | 2007-02-12 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| System for Award Management (SAM) Entities | STEWART MEMORIAL COMMUNITY HOSPITAL | 1301 West Main St, Lake City, IA 51449-1585 |
| Street Address |
1351 W MAIN ST |
| City | LAKE CITY |
| State | IA |
| Zip Code | 51449-1585 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1326023441 | Patricia Weishaar | Physician Assistant | 1351 W Main St, Lake City, IA 51449-1585 | 2005-12-12 |
| 1316505910 | Elizabeth Jean Halbur | Physician Assistant | 1351 W Main St, Lake City, IA 51449-1585 | 2019-05-30 |
| 1801264825 | Megan R Grodahl | Physician Assistant | 1351 W Main St, Lake City, IA 51449-1585 | 2015-09-08 |
| 1659652568 | Danniele S Anderson | Physician Assistant | 1351 W Main St, Lake City, IA 51449-1585 | 2011-09-06 |
| 1790073740 | Stephanie Ann Bellcock | Registered Nurse | 1351 W Main St, Lake City, IA 51449-1585 | 2011-07-12 |
| 1801109145 | Margaret Mary Vitiritto Khan | Family Medicine | 1351 W Main St, Lake City, IA 51449-1585 | 2010-07-15 |
| 1487764957 | Derek L Duncan | Emergency Medicine | 1351 W Main St, Lake City, IA 51449-1585 | 2006-08-30 |
| 1285652909 | Stewart Memorial Community Hospital | Family Medicine | 1351 W Main St, Lake City, IA 51449-1585 | 2006-07-18 |
| 1225089535 | Ronald A Cheney | Surgery | 1351 W Main St, Lake City, IA 51449-1585 | 2006-05-12 |
| 1871554857 | Susan A Hornback | Family Medicine | 1351 W Main St, Lake City, IA 51449-1585 | 2006-03-30 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1184719767 | Harris Drug, Inc. | Pharmacy | 121 East Main St., Lake City, IA 51449 | 2006-10-03 |
| 1427168749 | David Joseph Verbik | Dentist | 1331 West Main Street, Lake City, IA 51449 | 2006-08-30 |
| 1760921951 | Jeremie Lee Kent | Driver | 1115 W Main St, Lake City, IA 51449 | 2017-02-21 |
| 1811025984 | Cynthia Joan Grear | Pharmacist | 121 W. Main Street, Lake City, IA 51449 | 2007-03-01 |
| 1669521027 | Rock Vision Clinic PC | Optometrist | 1341 W Main St, Lake City, IA 51449-0124 | 2007-01-08 |
| 1770634677 | Craig Steven Rock | Optometrist | 1341 W Main St, Lake City, IA 51449-0124 | 2007-01-16 |
| 1285784280 | Jonathan Paul Judisch | Optometrist | 1341 W Main St, Lake City, IA 51449-0124 | 2007-01-11 |
| 1912141946 | Charles Smith Loeck | Dentist | 1100 N Douglas St, Lake City, IA 51449-1111 | 2009-04-21 |
| 1932357944 | Southern Cal Community School District | Local Education Agency (LEA) | 709 W Main St, Lake City, IA 51449-1500 | 2008-09-03 |
| 1255601811 | Cesar A. Cardenas | Surgery | 1400 W Main St, Lake City, IA 51449-1577 | 2012-01-12 |
| Find all providers in zip 51449 | ||||
| Taxonomy Code | 261QM2500X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Medical Specialty |
| An entity, facility, or distinct part of a facility providing diagnostic, treatment, and prescriptive services related to a specific area of medical specialization. Frequently used for Title V related Children's Specialty services or to meet specific public health needs (e.g., infectious diseases or breast and cervical cancer). |
| Notes: [7/1/2003: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1750867115 | Quality Neurology LLC | Clinic/Center | 2970 W Us Highway 90 Ste 110, Lake City, FL 32055-4703 | 2018-07-18 |
| 1861931958 | Triangle Urology Care | Clinic/Center | 1226 Sw Main Blvd, Lake City, FL 32025-6684 | 2017-02-22 |
| 1598154890 | Charles Varghese M D | Clinic/Center | 782 Sw Sisters Welcome Rd, Lake City, FL 32025-0442 | 2015-01-10 |
| 1992982722 | Raul B Zelaya Md Pa | Clinic/Center | 1188 Sw Main Blvd, Lake City, FL 32025-6684 | 2008-01-23 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1811523095 | Womens Care Specialists PC | Clinic/Center | 4480 Utica Ridge Rd Ste 140, Bettendorf, IA 52722-1637 | 2020-03-19 |
| 1356846414 | Iowa Dermatology Clinic Plc | Clinic/Center | 3053 8th Street, Suite 200, Altoona, IA 50009 | 2018-03-29 |
| 1740671387 | True Lifestyle Medicine Clinic, LLC | Clinic/Center | 2320 Windsor Ct, Davenport, IA 52807-1438 | 2015-02-17 |
| 1225462260 | Mercy Clinics, Inc | Clinic/Center | 1601 Nw 114th St Ste 240, Clive, IA 50325-7036 | 2013-08-27 |
| 1336408640 | Healthsource of Iowa City, PC | Clinic/Center | 960 S 1st Ave, Iowa City, IA 52245-5210 | 2012-05-07 |
| 1790069243 | Infectious Disease Physicians of Iowa City | Clinic/Center | 540 E Jefferson St Ste 306, Iowa City, IA 52245-2479 | 2011-10-03 |
| 1558520817 | Womens Care Specialists PC | Clinic/Center | 507 S Fourth St, Clinton, IA 52732-0000 | 2008-06-03 |
| 1790950590 | Ball Clinic of Chiropractic P.l.c. | Clinic/Center | 622 N Linn Ave, New Hampton, IA 50659-1236 | 2008-04-23 |
| 1770555971 | Moran Eye Center PC | Clinic/Center | 2001 Hamilton Blvd, Ste D, Sioux City, IA 51104 | 2006-02-02 |
| 1720081524 | Midwest Radiology and Imaging PC | Clinic/Center | 1200 1st Ave E, Spencer, IA 51301-4342 | 2005-05-24 |
| Find all providers with the same taxonomy | ||||
Please comment or provide details below to improve the information on STEWART MEMORIAL COMMUNITY HOSPITAL.
| 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.