GRINNELL REGIONAL MEDICAL CENTER (NPI# 1407252372) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1407252372 |
| Entity Type | Organization |
| Organization Name | GRINNELL REGIONAL MEDICAL CENTER |
| Other Organization Name | GRINNELL REGIONAL MENTAL HEALTH |
| Practice Address |
210 4th Ave Grinnell IA 50112-1898 |
| Practice Telephone | 6412362347 |
| Mailing Telephone | 6412367511 |
| Mailing Fax Number | 6412362995 |
| Enumeration Date | 2014-11-05 |
| Last Update Date | 2015-01-22 |
| Authorized Official Name | TODD C. LINDEN (PRESIDENT & CEO) |
| Authorized Official Telephone | 6412367511 |
| Is Organization Subpart | Y |
| Parent Organization Name | GRINNELL REGIONAL MEDICAL CENTER |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 363L00000X | Nurse Practitioner | Physician Assistants & Advanced Practice Nursing Providers | ||
| Y | 363A00000X | Physician Assistant | Physician Assistants & Advanced Practice Nursing Providers |
| Other Name | Type Code |
|---|---|
| Grinnell Regional Mental Health | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1043511850 | Grinnell Regional Medical Center | Clinic/Center | 306 4th Ave, Grinnell, IA 50112-1803 | 2010-11-10 |
| 1548336084 | Grinnell Regional Medical Center | Family Medicine | 303 East Street, Lynnville, IA 50153 | 2006-11-27 |
| 1457427999 | Grinnell Regional Medical Center | Family Medicine | 302 South Park St, New Sharon, IA 50207 | 2006-11-27 |
| 1780681379 | Grinnell Regional Medical Center | Home Health | 306 4th Ave Ste A, Grinnell, IA 50112-1803 | 2005-06-28 |
| 1396355343 | Grinnell Regional Medical Center | Clinic/Center | 202 4th Ave, Ste 100, 200 & 300, Grinnell, IA 50112-1898 | 2020-08-05 |
| 1437663242 | Grinnell Regional Medical Center | Internal Medicine | 210 4th Ave, Grinnell, IA 50112-1898 | 2017-12-01 |
| 1023498573 | Grinnell Regional Medical Center | Physician Assistant | 401 1st Ave, Toledo, IA 52342-2129 | 2015-05-30 |
| 1639567910 | Grinnell Regional Medical Center | Obstetrics & Gynecology | 210 4th Ave, Grinnell, IA 50112-1898 | 2015-01-08 |
| 1215339569 | Grinnell Regional Medical Center | Internal Medicine | 210 4th Ave, 2nd Floor Mab, Grinnell, IA 50112-1898 | 2014-09-18 |
| 1790115582 | Grinnell Regional Medical Center | Internal Medicine | 210 4th Ave, Grinnell, IA 50112-1898 | 2013-11-15 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| System for Award Management (SAM) Entities | GRINNELL REGIONAL MEDICAL CENTER | 210 4th Ave, Grinnell, IA 50112-1898 |
| Iowa Business Entities | GRINNELL REGIONAL MEDICAL CENTER | 210 Fourth Avenue, Grinnell, IA 50112 |
| Iowa Business Entities | GRINNELL REGIONAL MEDICAL CENTER FOUNDATION | Grinnell Regional Medical Center, 210 4th Ave, Grinnell, IA 50112 |
| Street Address |
210 4TH AVE |
| City | GRINNELL |
| State | IA |
| Zip Code | 50112-1898 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1417941717 | Patrick J Cogley | Family Medicine | 210 4th Ave, Grinnell, IA 50112-0780 | 2005-09-01 |
| 1609494673 | Des Moines Orthopaedic Surgeons PC | Durable Medical Equipment & Medical Supplies | 210 4th Ave, Grinnell, IA 50112-1898 | 2020-07-07 |
| 1720574692 | Elizabeth A Clancy | Occupational Therapy Assistant | 210 4th Ave, Grinnell, IA 50112-1898 | 2018-07-03 |
| 1427558857 | Lynn Marie Moorman | Nurse Practitioner | 210 4th Ave, Grinnell, IA 50112-1898 | 2018-02-12 |
| 1437663242 | Grinnell Regional Medical Center | Internal Medicine | 210 4th Ave, Grinnell, IA 50112-1898 | 2017-12-01 |
| 1508215013 | Katelyn Sue Beyer | Physician Assistant | 210 4th Ave, Grinnell, IA 50112-1898 | 2016-06-06 |
| 1639567910 | Grinnell Regional Medical Center | Obstetrics & Gynecology | 210 4th Ave, Grinnell, IA 50112-1898 | 2015-01-08 |
| 1215339569 | Grinnell Regional Medical Center | Internal Medicine | 210 4th Ave, 2nd Floor Mab, Grinnell, IA 50112-1898 | 2014-09-18 |
| 1790115582 | Grinnell Regional Medical Center | Internal Medicine | 210 4th Ave, Grinnell, IA 50112-1898 | 2013-11-15 |
| 1306279435 | Linda L Romero | Social Worker | 210 4th Ave, Grinnell, IA 50112-1898 | 2013-08-13 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1912451642 | Renfrow Senior Care | Internal Medicine | 120 W. St., Grinnell, IA 50112 | 2016-08-11 |
| 1114324605 | Grinnell Health Care Center, LLC | Skilled Nursing Facility | 415 S 6th Street, Grinnell, IA 50112 | 2014-11-26 |
| 1972907061 | Katie M Little | Counselor | 821 5th Ave Ste 401, Grinnell, IA 50112 | 2014-10-17 |
| 1366606287 | Kara Collings | Optometrist | 619 6th Ave, Grinnell, IA 50112 | 2008-07-10 |
| 1053510123 | Jennifer Davis | Speech-Language Pathologist | 79 Sixth Ave, Grinnell, IA 50112 | 2007-07-17 |
| 1306059506 | Grinnell Regional Medical Center, Inc | Anesthesiology | 210 Fourth Avenue, Grinnell, IA 50112 | 2007-05-07 |
| 1609906510 | Poweshiek County Case Management | Case Management | 120 W. Street, Grinnell, IA 50112 | 2007-03-07 |
| 1982756284 | The Grinnell Institute for Bone Health | Orthopaedic Surgery | 810 Commercial St., Grinnell, IA 50112 | 2007-01-17 |
| 1689771412 | Brandon L Davis | Psychologist | 200 4th Ave West, Grinnell, IA 50112 | 2006-09-20 |
| 1740240456 | Beth Mi Gallegos | Social Worker | 807 4th, Grinnell, IA 50112 | 2006-03-25 |
| Find all providers in zip 50112 | ||||
| Taxonomy Code | 363A00000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Physician Assistant |
| A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1568445823 | Kasey M Herbers | Physician Assistant | 122 4th Avenue, Grinnell, IA 50112 | 2005-11-21 |
| 1588651129 | Stefanie Noun | Physician Assistant | 122 4th Ave, Grinnell, IA 50112-1829 | 2005-09-29 |
| 1508215013 | Katelyn Sue Beyer | Physician Assistant | 210 4th Ave, Grinnell, IA 50112-1898 | 2016-06-06 |
| 1750623948 | Grinnell Health Alliance | Physician Assistant | 210 4th Ave, Grinnell, IA 50112-1898 | 2013-03-26 |
| 1306193248 | Jacob Daniel Boyer | Physician Assistant | 210 4th Ave, Grinnell, IA 50112-1898 | 2012-08-09 |
| 1760738579 | Grinnell Regional Medical Center | Physician Assistant | 210 4th Ave, Grinnell, IA 50112-1898 | 2012-07-30 |
| 1194086470 | Grinnell Regional Medical Center | Physician Assistant | 210 4th Ave, Grinnell, IA 50112-1898 | 2012-06-04 |
| 1740500487 | Grinnell Regional Medical Center | Physician Assistant | 210 4th Ave, Grinnell, IA 50112-1898 | 2010-06-04 |
| 1649433707 | Kristin Lynn Phelps | Physician Assistant | 210 4th Ave, Grinnell, IA 50112-1898 | 2008-07-08 |
| 1669570404 | Casie M Riney | Physician Assistant | 200 4th Ave West, Grinnell, IA 50112 | 2006-09-20 |
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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.