ST LUKE'S JONES REGIONAL MEDICAL CENTER (NPI# 1598289316) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1598289316 |
Entity Type | Organization |
Organization Name | ST LUKE'S JONES REGIONAL MEDICAL CENTER |
Other Organization Name | UNITYPOINT HEALTH-FAMILY MEDICINE CLINIC-CLARENCE |
Practice Address |
411 1st Ave Clarence IA 52216-9744 |
Mailing Address |
1795 Highway 64 E Anamosa IA 52205-2112 |
Practice Telephone | 5634523211 |
Practice Fax Number | 5634523215 |
Mailing Telephone | (319) 462-6131 |
Mailing Fax Number | 3194816332 |
Enumeration Date | 2017-08-02 |
Last Update Date | 2017-08-24 |
Authorized Official Name | MR. ERIC BRIESEMEISTER (CEO) |
Authorized Official Telephone | 3194626131 |
Is Organization Subpart | Y |
Parent Organization Name | ST LUKE'S JONES REGIONAL MEDICAL CENTER |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
N | 207Q00000X | Family Medicine | Allopathic & Osteopathic Physicians | ||
N | 363A00000X | Physician Assistant | Physician Assistants & Advanced Practice Nursing Providers | ||
Y | 261QR1300X |
Clinic/Center Specialization: Rural Health |
Ambulatory Health Care Facilities |
Other Name | Type Code |
---|---|
UNITYPOINT HEALTH JONES REGIONAL MEDICAL CENTER CLARENCE CLINIC | Other Name - Individual/Organization |
UNITYPOINT HEALTH-FAMILY MEDICINE CLINIC-CLARENCE | Doing Business As Name - Organization |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1932740024 | St Luke's Jones Regional Medical Center | Pharmacy | 1795 Highway 64 E Ste 2, Anamosa, IA 52205-2112 | 2019-10-01 |
1275015208 | St Luke's Jones Regional Medical Center | Nurse Practitioner | 1795 Highway 64 E Ste 1, Anamosa, IA 52205-2112 | 2018-09-06 |
1033619804 | St Luke's Jones Regional Medical Center | Family Medicine | 131 Main St Nw, Shellsburg, IA 52332-9728 | 2018-02-18 |
1306346176 | St Luke's Jones Regional Medical Center | Family Medicine | 1803 C Ave, Vinton, IA 52349-1691 | 2018-02-18 |
1497255269 | St Luke's Jones Regional Medical Center | Family Medicine | 105 9th Ave, Belle Plaine, IA 52208-2200 | 2018-02-18 |
1194249920 | St Luke's Jones Regional Medical Center | Family Medicine | 1412 Cedar St, Tipton, IA 52772-1100 | 2017-08-02 |
1013459163 | St Luke's Jones Regional Medical Center | Family Medicine | 1791 Highway 64 E, Anamosa, IA 52205-2112 | 2016-11-07 |
1053853234 | St Luke's Jones Regional Medical Center | Physician Assistant | 740 E Oak St, Monticello, IA 52310-1745 | 2016-11-05 |
1164514741 | St Luke's Jones Regional Medical Center | General Acute Care Hospital | 1795 Highway 64 E, Anamosa, IA 52205-2112 | 2006-09-29 |
1962594549 | St Luke's Jones Regional Medical Center | Medicare Defined Swing Bed Unit | 1795 Highway 64 E, Anamosa, IA 52205-2112 | 2006-09-29 |
Street Address |
411 1ST AVE |
City | CLARENCE |
State | IA |
Zip Code | 52216-9744 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1912983966 | David L Askelson | Physician Assistant | 411 1st Ave, Clarence, IA 52216-9744 | 2005-12-21 |
1942789250 | Heather Lynn Schott | Nurse Practitioner | 411 1st Ave, Clarence, IA 52216-9744 | 2018-08-08 |
1154604536 | Anna C. Pruess | Nurse Practitioner | 411 1st Ave, Clarence, IA 52216-9744 | 2011-09-22 |
1194760561 | Iowa Physicians Clinic Medical Foundation | Clinic/Center | 411 1st Ave, Clarence, IA 52216-9744 | 2006-06-18 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1033110739 | City of Clarence | Ambulance | 411 Lombard St., Clarence, IA 52216 | 2005-08-03 |
1457484230 | Frederick Russell Drexler | Dentist | 303 5th Avenue, Clarence, IA 52216-0446 | 2007-03-13 |
1538109749 | Ann Marie Campagna | Chiropractor | 507 Lombard St, Clarence, IA 52216-7703 | 2006-06-07 |
1508849522 | Clarence Nursing Home Inc | Skilled Nursing Facility | 402 2nd Ave, Po Box H, Clarence, IA 52216-9754 | 2005-11-23 |
1780088393 | Clarence Nursing Home, Inc | Assisted Living Facility | 402 2nd Ave, Clarence, IA 52216-9754 | 2014-10-13 |
1699019844 | Sara J Otten | Physical Therapist | 402 2nd Ave, Clarence, IA 52216-9754 | 2012-11-11 |
Taxonomy Code | 261QR1300X |
Grouping | Ambulatory Health Care Facilities |
Classification | Clinic/Center |
Specialization | Rural Health |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1598017550 | Creative Enterprises of Clarence | Clinic/Center | 101 N Center St, Clarence, MO 63437-1701 | 2012-10-15 |
1194760561 | Iowa Physicians Clinic Medical Foundation | Clinic/Center | 411 1st Ave, Clarence, IA 52216-9744 | 2006-06-18 |
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1255930178 | Humboldt County Memorial Hospital | Clinic/Center | 1000 15th St N Ste C, Humboldt, IA 50548-1008 | 2020-10-21 |
1104440809 | Regional Health Services of Howard County | Clinic/Center | 600 Busti Ave, Elma, IA 50628-8090 | 2020-05-29 |
1255977740 | Unitypoint Health - Marshalltown | Clinic/Center | 101 E J Ave Ste 120, Grundy Center, IA 50638-2006 | 2019-11-20 |
1326690082 | Unity Healthcare | Clinic/Center | 1518 Mulberry Ave Ste 201, Muscatine, IA 52761-3433 | 2019-07-12 |
1457825192 | Greene County Medical Center | Clinic/Center | 1000 W Lincoln Way Ste 100, Jefferson, IA 50129-1645 | 2019-01-16 |
1427548148 | Iowa Physicians Clinic Medical Foundation | Clinic/Center | 1518 Mulberry Ave Ste 202, Muscatine, IA 52761-3433 | 2018-05-17 |
1194215269 | Iowa Physicians Clinic Medical Foundation | Clinic/Center | 3426 N Port Dr Ste 200, Muscatine, IA 52761 | 2018-05-15 |
1659872927 | Henry County Soldiers' and Sailors' Memorial Hospital | Clinic/Center | 227 W Main St Ste 1, Wayland, IA 52654-7615 | 2018-02-22 |
1447778170 | Trinity Regional Medical Center | Clinic/Center | 804 Kenyon Rd Ste D, Fort Dodge, IA 50501-5744 | 2017-09-01 |
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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.