CENTRAL IOWA HEALTHCARE (NPI# 1396184578) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1396184578 |
| Entity Type | Organization |
| Organization Name | CENTRAL IOWA HEALTHCARE |
| Practice Address |
3 S 4th Ave Marshalltown IA 50158-2998 |
| Practice Telephone | 6417545151 |
| Practice Fax Number | 6418446208 |
| Mailing Telephone | 6417545151 |
| Mailing Fax Number | 6418446208 |
| Enumeration Date | 2013-06-20 |
| Last Update Date | 2017-04-05 |
| Authorized Official Name | MS. DAWNETT L WILLIS (ACTING CEO) |
| Authorized Official Telephone | 6417545145 |
| Is Organization Subpart | Y |
| Parent Organization Name | CENTRAL IOWA HEALTHCARE |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 282N00000X | General Acute Care Hospital | 640007H | IA | Hospitals |
| Y | 275N00000X | Medicare Defined Swing Bed Unit | 640007H | IA | Hospital Units |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1710980032 | Central Iowa Healthcare | General Acute Care Hospital | 3 S 4th Ave, Marshalltown, IA 50158-2924 | 2005-05-31 |
| 1467698449 | Central Iowa Healthcare | Dietitian, Registered | 3 S 4th Ave, Marshalltown, IA 50158-2924 | 2008-12-23 |
| 1922252741 | Central Iowa Healthcare | Clinic/Center | 105 N Church St, Conrad, IA 50621-7714 | 2008-11-06 |
| 1831343656 | Central Iowa Healthcare | Clinic/Center | 503 3rd Ave Sw, State Center, IA 50247-7719 | 2008-11-06 |
| 1477707297 | Central Iowa Healthcare | Clinic/Center | 1307 S Broadway St, Upper Level, Toledo, IA 52342-2307 | 2008-11-06 |
| 1386898104 | Central Iowa Healthcare | Anesthesiology | 405 E Main St, First Floor, Marshalltown, IA 50158-1928 | 2008-11-06 |
| 1336125921 | Central Iowa Healthcare | Home Health | 3 S 4th Ave, Marshalltown, IA 50158-2998 | 2005-12-16 |
| 1952304222 | Central Iowa Healthcare | Anesthesiology | 3 S 4th Ave, Marshalltown, IA 50158-2998 | 2005-05-31 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| Iowa Business Entities | CENTRAL IOWA HEALTHCARE | 3 South 4th Ave, Marshalltown, IA 50158 |
| Iowa Business Entities | CENTRAL IOWA HEALTHCARE MANAGEMENT, L.L.C. | 1111 Duff Ave, Ames, IA 50010 |
| Street Address |
3 S 4TH AVE |
| City | MARSHALLTOWN |
| State | IA |
| Zip Code | 50158-2998 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1710980032 | Central Iowa Healthcare | General Acute Care Hospital | 3 S 4th Ave, Marshalltown, IA 50158-2924 | 2005-05-31 |
| 1912528902 | Andrea Bergdale | Nurse Practitioner | 3 S 4th Ave, Marshalltown, IA 50158-2924 | 2020-04-30 |
| 1992338222 | Marci Burns | Pharmacist | 3 S 4th Ave, Marshalltown, IA 50158-2924 | 2020-02-14 |
| 1164054680 | Maria Gunnes Sibbel | Pharmacist | 3 S 4th Ave, Marshalltown, IA 50158-2924 | 2020-02-12 |
| 1750930426 | Melissa Michelle Hadwiger | Nurse Practitioner | 3 S 4th Ave, Marshalltown, IA 50158 | 2019-09-05 |
| 1306406681 | Brandy M Reints | Nurse Practitioner | 3 S 4th Ave, Marshalltown, IA 50158-2924 | 2019-06-18 |
| 1821568858 | Leah M Haubrich | Nurse Practitioner | 3 S 4th Ave, Marshalltown, IA 50158-2924 | 2018-12-03 |
| 1073006698 | Callie M Williams | Nurse Practitioner | 3 S 4th Ave, Marshalltown, IA 50158-2924 | 2018-06-08 |
| 1487150991 | Mckenzie Mae Cooper | Physician Assistant | 3 S 4th Ave, Marshalltown, IA 50158-2924 | 2018-04-03 |
| 1851893135 | Ryan Matthew Foulkes | Nurse Practitioner | 3 S 4th Ave, Marshalltown, IA 50158-2924 | 2018-03-02 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1386122455 | The Willows of Marshalltown LLC | Assisted Living Facility | 2315 Campbell Drive, Marshalltown, IA 50158 | 2018-08-01 |
| 1649654922 | Jennifer Marie Sitter | Physical Therapist | 55 Central Iowa Drive, Suite 70, Marshalltown, IA 50158 | 2015-07-16 |
| 1447685664 | Tara Lea Rathjen | Counselor | 2501 S Center Street, Suite M, Marshalltown, IA 50158 | 2013-09-06 |
| 1619232766 | Katie Elizabeth Mennenga | Hearing Instrument Specialist | 309 East Church Street, Marshalltown, IA 50158 | 2012-07-05 |
| 1043419070 | Iowa Veterans Home | Pharmacist | 1301 Summit Street, Marshalltown, IA 50158 | 2007-07-11 |
| 1710183637 | Leah A. Bethel | Emergency Medicine | 3 South 4th Ave, Mcfarland Clinic, PC, Marshalltown, IA 50158 | 2007-06-26 |
| 1902018179 | Daryl M. Lorell | Speech-Language Pathologist | 1902 South Center Street, Marshalltown, IA 50158 | 2007-05-03 |
| 1609934157 | Substance Abuse Treatment Unit of Central Iowa | Substance Abuse Rehabilitation Facility | 9 North 4th Avenue, Marshalltown, IA 50158 | 2006-12-05 |
| 1245319540 | Clark and Associates, Inc. | Prosthetic/Orthotic Supplier | 3109 S Center St # 102, Marshalltown, IA 50158 | 2006-11-06 |
| 1679669832 | Erin Voyles Hatcher | Nurse Practitioner | 9 North 4th Ave, Marshalltown, IA 50158 | 2006-10-05 |
| Find all providers in zip 50158 | ||||
| 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 | MARSHALLTOWN |
| Zip Code | 50158 |
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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.