ALLEN MEMORIAL HOSPITAL CORPORATION (NPI# 1336231091) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1336231091 |
Entity Type | Organization |
Organization Name | ALLEN MEMORIAL HOSPITAL CORPORATION |
Other Organization Name | ALLEN HOSPITAL |
Practice Address |
1825 Logan Ave Waterloo IA 50703-1916 |
Mailing Address |
1825 Logan Avenue Waterloo IA 50703 |
Practice Telephone | 3192353941 |
Mailing Telephone | 3192353941 |
Enumeration Date | 2006-09-29 |
Last Update Date | 2016-11-08 |
Authorized Official Name | MS. PAMELA K. DELAGARDELLE (PRESIDENT/CEO) |
Authorized Official Telephone | 3192353987 |
Is Organization Subpart | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 282N00000X | General Acute Care Hospital | 070034H | IA | Hospitals |
State | Issuer | Identifier | Type Code |
---|---|---|---|
IA | 0601104 | 05 | |
IA | JOHN DEERE | A5070336 | 01 |
MO | 010930303 | 05 | |
SD | 0131310 | 05 | |
IA | PHARMACY | 5600108 | 01 |
SD | 5531310 | 05 | |
IA | BLUE CROSS | 60110 | 01 |
NE | 402069826500 | 05 | |
WI | 80489300 | 05 |
Other Name | Type Code |
---|---|
Allen Hospital | Doing Business As Name - Organization |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1346336484 | Allen Memorial Hospital Corporation | Public Health or Welfare | 704 1/2 H Ave, Suite 3, Grundy Center, IA 50638-1446 | 2006-10-05 |
1104912203 | Allen Memorial Hospital Corporation | Home Health | 1117 Maxhelen Blvd, Waterloo, IA 50701-9346 | 2006-10-05 |
1598215659 | Allen Memorial Hospital Corporation | Pharmacy | 5100 Prairie Pkwy Ste 106, Cedar Falls, IA 50613-8155 | 2016-10-12 |
1942584784 | Allen Memorial Hospital Corporation | Rehabilitation Hospital | 1825 Logan Ave, Waterloo, IA 50703-1999 | 2011-09-28 |
1255657466 | Allen Memorial Hospital Corporation | Durable Medical Equipment & Medical Supplies | 1717 W Ridgeway Ave, Suite 50a, Waterloo, IA 50701-4543 | 2010-04-13 |
1982739082 | Allen Memorial Hospital Corporation | Public Health or Welfare | 1825 Logan Ave, Waterloo, IA 50703-1916 | 2007-02-22 |
1609951276 | Allen Memorial Hospital Corporation | Home Health | 1825 Logan Ave, Waterloo, IA 50703-1916 | 2006-10-25 |
1659461572 | Allen Memorial Hospital Corporation | Pharmacy | 146 W Dale St, Suite 103, Waterloo, IA 50703-1901 | 2006-10-13 |
1588750699 | Allen Memorial Hospital Corporation | Home Health | 1825 Logan Ave, Waterloo, IA 50703-1916 | 2006-10-05 |
1508958265 | Allen Memorial Hospital Corporation | Skilled Nursing Facility | 1825 Logan Ave, Waterloo, IA 50703-1916 | 2006-09-29 |
Street Address |
1825 LOGAN AVE |
City | WATERLOO |
State | IA |
Zip Code | 50703-1916 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1881680130 | Jeffrey David Wilkins | Emergency Medicine | 1825 Logan Ave, Waterloo, IA 50703-1916 | 2005-09-22 |
1922614379 | Jade Marie Kalina | Nurse Practitioner | 1825 Logan Ave, Waterloo, IA 50703-1916 | 2020-09-21 |
1942818877 | Julia Fifield | Pharmacist | 1825 Logan Ave, Waterloo, IA 50703-1916 | 2020-07-16 |
1154939262 | Jacob John Peterson | Pharmacist | 1825 Logan Ave, Waterloo, IA 50703-1916 | 2020-07-15 |
1962025767 | Abby Staudt | Nurse Practitioner | 1825 Logan Ave, Waterloo, IA 50703-1916 | 2020-05-27 |
1083237234 | Kathryn E Soeder | Nurse Anesthetist, Certified Registered | 1825 Logan Ave, Waterloo, IA 50703-1916 | 2020-05-22 |
1871120147 | Carolyn Anna Steenhoek | Physician Assistant | 1825 Logan Ave, Waterloo, IA 50703-1916 | 2020-03-25 |
1497387989 | Nupur Chopra Harkness | Pharmacist | 1825 Logan Ave, Waterloo, IA 50703-1916 | 2020-02-12 |
1750912523 | Patricia Leininger | Dietitian, Registered | 1825 Logan Ave, Waterloo, IA 50703-1916 | 2020-01-30 |
1932739331 | Allison Katherine Bohlman | Dietitian, Registered | 1825 Logan Ave, Waterloo, IA 50703-1916 | 2020-01-24 |
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NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1306363841 | Kristie Wood | Counselor | 1420 W. Donald St, Waterloo, IA 50703 | 2017-08-25 |
1215359054 | Chuck Corwin | Counselor | 607 Sycamore Street, Suite 300, Waterloo, IA 50703 | 2014-01-14 |
1679672554 | Linda D Bartollas | Social Worker | 146 West Dale Street, Suite 101, Waterloo, IA 50703 | 2006-09-21 |
1558477745 | Brent Matthew Hintz | Obstetrics & Gynecology | 212 West Dale St., Suite 402, Waterloo, IA 50703 | 2006-08-21 |
1588629729 | Mir Ahmad Waziri | Pediatrics | 212 W Dale Street, Suite 302, Waterloo, IA 50703 | 2006-04-19 |
1568432615 | Wei Yang | Pathology | Northeast Iowa Pathology Associates, PC, 1825 Logan Avenue, Waterloo, IA 50703 | 2006-01-23 |
1689158040 | Megan Elizabeth O'neal | Nurse Practitioner | 1631 Logan Ave, Waterloo, IA 50703 | 2018-09-21 |
1972031359 | Stephanie Rose Smith | Nurse Practitioner | 1631 Logan Ave, Waterloo, IA 50703 | 2017-05-30 |
1801263462 | Krissy Jean Wieland | Nurse Practitioner | 220 Franklin St, Waterloo, IA 50703 | 2015-08-28 |
1649670852 | Sapna Aggarwal | Dentist | 905 Franklin St, Waterloo, IA 50703 | 2014-08-26 |
Find all providers in zip 50703 |
Taxonomy Code | 282N00000X |
Grouping | Hospitals |
Classification | General Acute Care Hospital |
An acute general hospital is an institution whose primary function is to provide inpatient diagnostic and therapeutic services for a variety of medical conditions, both surgical and non-surgical, to a wide population group. The hospital treats patients in an acute phase of illness or injury, characterized by a single episode or a fairly short duration, from which the patient returns to his or her normal or previous level of activity. |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1326317538 | Pisipati LLC | General Acute Care Hospital | 550 33rd Ave N, Clinton, IA 52732-1585 | 2011-12-16 |
1982914172 | Mary Louise Gallegos | General Acute Care Hospital | 1205 W Us Highway 30, Suite A, Carroll, IA 51401-3364 | 2010-10-21 |
1538395975 | Catholic Health Initiatives - Iowa Corp | General Acute Care Hospital | 1755 59th Place, West Des Moines, IA 50266-7737 | 2009-05-29 |
1598905762 | Central Iowa Hospital Corporation | General Acute Care Hospital | 1660 60th St, West Des Moines, IA 50266-7700 | 2009-03-02 |
1043467269 | Cindy May Hannon | General Acute Care Hospital | 1848 W 7th St, Davenport, IA 52802-1029 | 2008-08-19 |
1437325107 | Keokuk Area Hospital | General Acute Care Hospital | 1600 Morgan Street, Keokuk, IA 52632-3456 | 2008-05-02 |
1770755928 | Rtg Medical | General Acute Care Hospital | 606 2nd St Nw, Waukon, IA 52172-1026 | 2008-03-27 |
1720126527 | James W Pollard Dds PC | General Acute Care Hospital | 1905 S Marshall St, Boone, IA 50036-5401 | 2007-02-02 |
1356352504 | Vamc | General Acute Care Hospital | 640 Black Bear Bend, North Liberty, IA 52317 | 2006-08-11 |
1942290432 | Skiff Hospital | General Acute Care Hospital | 5957 Highway F48 W, Newton, IA 50208-9053 | 2005-10-25 |
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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.