SHENANDOAH MEDICAL CENTER (NPI# 1346304524) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1346304524 |
| Entity Type | Organization |
| Organization Name | SHENANDOAH MEDICAL CENTER |
| Other Organization Name | SHENANDOAH MEMORIAL HOSPITAL |
| 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 | 2006-12-21 |
| Last Update Date | 2012-06-18 |
| 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 | 275N00000X | Medicare Defined Swing Bed Unit | 730065H | IA | Hospital Units |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| IA | 0655696 | 05 |
| Other Name | Type Code |
|---|---|
| Shenandoah Memorial Hospital | Doing Business As Name - Organization |
| 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 |
| 1194079954 | Shenandoah Medical Center | Durable Medical Equipment & Medical Supplies | 300 Pershing Ave, Shenandoah, IA 51601-2355 | 2012-11-01 |
| 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 | 275N00000X |
| Grouping | Hospital Units |
| Classification | Medicare Defined Swing Bed Unit |
| A unit of a hospital that has a Medicare provider agreement and has been granted approval from HCFA to provide post-hospital extended care services and be reimbursed as a swing-bed unit. |
| Notes: Source: Code of Federal Regulations #42, Section 482.66. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1538373717 | Washington County Hospital | Medicare Defined Swing Bed Unit | 400 East Polk Street, Washington, IA 52353 | 2007-05-09 |
| 1548278328 | Sioux Center Health | Medicare Defined Swing Bed Unit | 1101 9th St. Se, Sioux Center, IA 51250-2501 | 2006-08-04 |
| 1093288292 | Avera Mckennan | Medicare Defined Swing Bed Unit | 1100 S 10th Ave, Rock Rapids, IA 51246-2020 | 2019-01-10 |
| 1649650714 | Mercy Medical Center - Newton | Medicare Defined Swing Bed Unit | 204 N 4th Ave E, Newton, IA 50208-3135 | 2015-06-04 |
| 1922335322 | Story County Hospital | Medicare Defined Swing Bed Unit | 640 S 19th St, Nevada, IA 50201-2902 | 2009-11-06 |
| 1063650034 | Unity Healthcare | Medicare Defined Swing Bed Unit | 1518 Mulberry Ave, Muscatine, IA 52761-3433 | 2009-01-29 |
| 1780892307 | Grinnell Regional Medical Center | Medicare Defined Swing Bed Unit | 210 4th Ave, Grinnell, IA 50112-1898 | 2007-05-18 |
| 1639399827 | Baum Harmon Mercy Hospital | Medicare Defined Swing Bed Unit | 255 N Welch Ave, Primghar, IA 51245-0528 | 2007-04-27 |
| 1447381322 | Veterans Memorial Hospital City of Waukon Ia | Medicare Defined Swing Bed Unit | 40 1st St Se, Waukon, IA 52172-2022 | 2007-03-09 |
| 1356490841 | Ringgold County Hospital | Medicare Defined Swing Bed Unit | 504 N. Cleveland St., Mount Ayr, IA 50854-2201 | 2007-01-10 |
| Find all providers with the same taxonomy | ||||
| City | SHENANDOAH |
| Zip Code | 51601 |
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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.