GRINNELL REGIONAL MEDICAL CENTER (NPI# 1437663242) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1437663242 |
Entity Type | Organization |
Organization Name | GRINNELL REGIONAL MEDICAL CENTER |
Other Organization Name | UNITYPOINT HEALTH - GRINNELL PROFESSIONAL SERVICES |
Practice Address |
210 4th Ave Grinnell IA 50112-1898 |
Practice Telephone | 6412367511 |
Practice Fax Number | 6412362995 |
Mailing Telephone | 6142367511 |
Mailing Fax Number | 6412362995 |
Enumeration Date | 2017-12-01 |
Last Update Date | 2020-08-28 |
Authorized Official Name | MR. KYLE M WILCOX (CFO) |
Authorized Official Telephone | 6412362919 |
Is Organization Subpart | Y |
Parent Organization Name | GRINNELL REGIONAL MEDICAL CENTER |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
N | 207RH0003X |
Internal Medicine Specialization: Hematology & Oncology |
Allopathic & Osteopathic Physicians | ||
N | 207RR0500X |
Internal Medicine Specialization: Rheumatology |
Allopathic & Osteopathic Physicians | ||
N | 207X00000X | Orthopaedic Surgery | Allopathic & Osteopathic Physicians | ||
N | 207LP2900X |
Anesthesiology Specialization: Pain Medicine |
Allopathic & Osteopathic Physicians | ||
N | 207R00000X | Internal Medicine | Allopathic & Osteopathic Physicians | ||
N | 207Y00000X | Otolaryngology | Allopathic & Osteopathic Physicians | ||
N | 2083X0100X |
Preventive Medicine Specialization: Occupational Medicine |
Allopathic & Osteopathic Physicians | ||
N | 363A00000X | Physician Assistant | Physician Assistants & Advanced Practice Nursing Providers | ||
N | 363L00000X | Nurse Practitioner | Physician Assistants & Advanced Practice Nursing Providers | ||
N | 367500000X | Nurse Anesthetist, Certified Registered | Physician Assistants & Advanced Practice Nursing Providers | ||
Y | 207Q00000X | Family Medicine | Allopathic & Osteopathic Physicians |
Other Name | Type Code |
---|---|
GRMC CLINIC PROFESSIONAL SERVICES | Doing Business As Name - Organization |
UNITYPOINT HEALTH - GRINNELL PROFESSIONAL SERVICES | 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 |
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 |
1407252372 | Grinnell Regional Medical Center | Nurse Practitioner | 210 4th Ave, Grinnell, IA 50112-1898 | 2014-11-05 |
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 |
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 |
1407252372 | Grinnell Regional Medical Center | Nurse Practitioner | 210 4th Ave, Grinnell, IA 50112-1898 | 2014-11-05 |
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 | 207Q00000X |
Grouping | Allopathic & Osteopathic Physicians |
Classification | Family Medicine |
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. |
Notes: Source: American Board of Family Medicine [1/1/2007: changed title; 7/1/2007: added definition, added source; 7/1/2017: modified definition] - Note: The American Osteopathic Board of Family Physicians certification includes extensive use of Osteopathic Manipulative Treatment (OMT), which integrates the biological, clinical, and behavioral sciences. - Additional Resources: American Board of Family Medicine, www.theabfm.org. American Osteopathic Board of Family Physicians, www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Family Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Family Physicians or the American Board of Family Medicine. |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1811199029 | Marjorie M. Renfrow | Family Medicine | 120 West St, Grinnell, IA 50112-0000 | 2007-06-01 |
1295700532 | James R Paulson | Family Medicine | 217 4th Ave W, Grinnell, IA 50112-1895 | 2006-02-21 |
1417941717 | Patrick J Cogley | Family Medicine | 210 4th Ave, Grinnell, IA 50112-0780 | 2005-09-01 |
1659378446 | Laura Marie Ferguson | Family Medicine | 224 3rd Ave, Grinnell, IA 50112-1817 | 2005-07-07 |
1144481441 | Case Calvin Everett | Family Medicine | 210 4th Ave, Grinnell, IA 50112-1898 | 2008-06-19 |
1134265341 | Family Medicine | Family Medicine | 224 3rd Ave, Grinnell, IA 50112-1817 | 2007-01-29 |
1124136494 | Patrick J Cogley PC | Family Medicine | 210 4th Ave, Grinnell, IA 50112-0780 | 2006-08-28 |
1285742478 | Clayton A Francis Md | Family Medicine | 210 4th Ave, Grinnell, IA 50112-0780 | 2006-08-28 |
1437267713 | Roy A Doorenbos Md | Family Medicine | 210 4th Ave, Grinnell, IA 50112-0780 | 2006-08-28 |
1972617611 | Grinnell Family Care PC | Family Medicine | 217 4th Ave W, Grinnell, IA 50112-1895 | 2006-08-19 |
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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.