JENNIE EDMUNDSON MEMORIAL HOSPITAL (NPI# 1457448755) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1457448755 |
| Entity Type | Organization |
| Organization Name | JENNIE EDMUNDSON MEMORIAL HOSPITAL |
| Other Organization Name | METHODIST JENNIE EDMUNDSON |
| Practice Address |
933 E Pierce St Council Bluffs IA 51503-4626 |
| Mailing Address |
8601 West Dodge Road Suite # 216 Omaha NE 68114 |
| Practice Telephone | 7123966000 |
| Practice Fax Number | 7123966288 |
| Mailing Telephone | 4023544822 |
| Mailing Fax Number | 4023545454 |
| Enumeration Date | 2006-10-06 |
| Last Update Date | 2014-08-25 |
| Authorized Official Name | MR. STEVEN P. BAUMERT (PRESIDENT & CHIEF EXECUTIVE OFFICER) |
| Authorized Official Telephone | 7123966064 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 282N00000X | General Acute Care Hospital | 780039H | IA | Hospitals |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| IA | UHC | 5000005 | 01 |
| IA | WELLMARK | 60047 | 01 |
| IA | 0600478 | 05 |
| Other Name | Type Code |
|---|---|
| Methodist Jennie Edmundson | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1497352165 | Jennie Edmundson Memorial Hospital | Clinical Medical Laboratory | 933 E Pierce St, Council Bluffs, IA 51503-4626 | 2020-10-06 |
| 1942251269 | Jennie Edmundson Memorial Hospital | Psychiatry & Neurology | 933 E Pierce St, Council Bluffs, IA 51503-4626 | 2006-05-12 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| Iowa Business Entities | JENNIE EDMUNDSON MEMORIAL HOSPITAL | 933 East Pierce Street, Council Bluffs, IA 51503 |
| System for Award Management (SAM) Entities | JENNIE EDMUNDSON MEMORIAL HOSPITAL | 933 E Pierce St, Council Bluffs, IA 51503-4626 |
| Iowa Business Entities | JENNIE EDMUNDSON MEMORIAL HOSPITAL FOUNDATION | 933 East Pierce Street, Council Bluffs, IA 51530 |
| Street Address |
933 E PIERCE ST |
| City | COUNCIL BLUFFS |
| State | IA |
| Zip Code | 51503-4626 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1144220260 | Michelle A Haessler | Radiology | 933 E Pierce St, Council Bluffs, IA 51503-4626 | 2005-07-29 |
| 1497352165 | Jennie Edmundson Memorial Hospital | Clinical Medical Laboratory | 933 E Pierce St, Council Bluffs, IA 51503-4626 | 2020-10-06 |
| 1306455506 | Mariah C. Schaaf | Nurse Practitioner | 933 E Pierce St, Council Bluffs, IA 51503-4626 | 2020-07-24 |
| 1215589395 | Stefanie Till | Nurse Practitioner | 933 E Pierce St, Council Bluffs, IA 51503-4626 | 2019-07-10 |
| 1508422635 | Carli A. Zegers | Registered Nurse | 933 E Pierce St, Council Bluffs, IA 51503-4626 | 2019-05-14 |
| 1205336740 | Monica E. Wilcox | Nurse Practitioner | 933 E Pierce St, Council Bluffs, IA 51503-4626 | 2018-02-20 |
| 1578072351 | Lisa A. Pape | Nurse Practitioner | 933 E Pierce St, Council Bluffs, IA 51503-4626 | 2017-09-25 |
| 1861929168 | Misty D Wahab | Nurse Practitioner | 933 E Pierce St, Council Bluffs, IA 51503-4626 | 2017-05-17 |
| 1821535550 | Joni K. Anderson | Dietitian, Registered | 933 E Pierce St, Council Bluffs, IA 51503-4626 | 2017-01-19 |
| 1083077358 | Clifton R. Davis | Internal Medicine | 933 E Pierce St, Council Bluffs, IA 51503 | 2016-04-03 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1326654377 | Michael Menendez | Counselor | N 6th Street and Ave E, Council Bluffs, IA 51503 | 2020-09-16 |
| 1417598301 | Katherine E Turner | Counselor | 2303 Butler Street, Council Bluffs, IA 51503 | 2019-10-02 |
| 1992354666 | Phs Council Bluffs, Inc | Skilled Nursing Facility | 16 Valley View Drive, Council Bluffs, IA 51503 | 2019-09-05 |
| 1629429451 | Nathan Charles Shumway | Podiatrist | 320 Mckenzie Ave Ste 102, Council Bluffs, IA 51503 | 2016-06-22 |
| 1699131797 | Bluffs Pain Management LLC | Pain Medicine | 201 Ridge St Suite 102, Council Bluffs, IA 51503 | 2016-01-06 |
| 1811246903 | Georgia Ann Boeck | Hearing Instrument Specialist | 900 Woodbury Avenue, Suite 8b, Council Bluffs, IA 51503 | 2012-09-05 |
| 1790055796 | Wendy Jane'e Zenor | Licensed Practical Nurse | 1525 Rolling Hills Loop, Council Bluffs, IA 51503 | 2012-01-06 |
| 1649579186 | Mohana K Loya | Internal Medicine | 933 E Pierce St., Council Bluffs, IA 51503 | 2011-03-23 |
| 1568761369 | Brenda Kay Sennett | Occupational Therapist | 1600 Mcpherson Avenue, Council Bluffs, IA 51503 | 2011-03-18 |
| 1710129671 | Heart Lung and Vascular Surgery PC | Specialist | 210 Ridge, Jennie Edmundsen Hospital, Council Bluffs, IA 51503 | 2009-03-24 |
| Find all providers in zip 51503 | ||||
| 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 |
|---|---|---|---|---|
| 1700905460 | Mercy Hospital | General Acute Care Hospital | 800 Mercy Dr, Council Bluffs, IA 51503-3128 | 2007-03-27 |
| 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 |
| Find all providers with the same taxonomy | ||||
| City | COUNCIL BLUFFS |
| Zip Code | 51503 |
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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.