WASHINGTON COUNTY HOSPITAL (NPI# 1619962214) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1619962214 |
| Entity Type | Organization |
| Organization Name | WASHINGTON COUNTY HOSPITAL |
| Other Organization Name | MCCREEDY HOME |
| Practice Address |
400 E Polk St Washington IA 52353-1237 |
| Practice Telephone | 3198633958 |
| Practice Fax Number | 3198633956 |
| Mailing Telephone | 3198633958 |
| Mailing Fax Number | 3198633956 |
| Enumeration Date | 2005-09-20 |
| Last Update Date | 2020-01-08 |
| Authorized Official Name | JACOB GREEN (LTC ADMINISTRATOR) |
| Authorized Official Telephone | 3198633958 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 313M00000X | Nursing Facility/Intermediate Care Facility | 920052H | IA | Nursing & Custodial Care Facilities |
| Other Name | Type Code |
|---|---|
| McCreedy Home | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1821279019 | Washington County Hospital | General Acute Care Hospital | 251 E. Antietam St, Hagerstown, MD 21740 | 2007-11-16 |
| 1538373717 | Washington County Hospital | Medicare Defined Swing Bed Unit | 400 East Polk Street, Washington, IA 52353 | 2007-05-09 |
| 1871509661 | Washington County Hospital | General Acute Care Hospital | 400 West 7 Th Street, Frederick, MD 21701-5724 | 2006-07-31 |
| 1962403584 | Washington County Hospital | General Acute Care Hospital | 304 E 3rd St, Washington, KS 66968-2098 | 2005-08-04 |
| 1326402355 | Washington County Hospital | Psychiatry & Neurology | 400 E Polk St, Washington, IA 52353-1237 | 2016-04-06 |
| 1659746949 | Washington County Hospital | Pharmacy | 222 S Iowa Ave, Washington, IA 52353-1736 | 2015-12-11 |
| 1598134090 | Washington County Hospital | Nurse Practitioner | 207 1st St, Suite 4, Kalona, IA 52247-9729 | 2015-09-15 |
| 1790172377 | Washington County Hospital | Clinic/Center | 302 E 2nd St, Washington, KS 66968-2029 | 2015-04-21 |
| 1699167866 | Washington County Hospital | Clinic/Center | 444 E Polk St, Washington, IA 52353-1237 | 2015-02-25 |
| 1669802955 | Washington County Hospital | Family Medicine | 1230 S Iowa Ave, Washington, IA 52353-1144 | 2013-11-22 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| System for Award Management (SAM) Entities | WASHINGTON COUNTY HOSPITAL | 14600 St Stephens Ave, Chatom, AL 36518-6711 |
| System for Award Management (SAM) Entities | WASHINGTON COUNTY HOSPITAL DISTRICT #1 | 205 S Hanover St, Hanover, KS 66945-8924 |
| Street Address |
400 E POLK ST |
| City | WASHINGTON |
| State | IA |
| Zip Code | 52353-1237 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1902899586 | Curtis J Frier | General Practice | 400 E Polk St, Pob 909, Washington, IA 52353-1237 | 2005-08-29 |
| 1326402355 | Washington County Hospital | Psychiatry & Neurology | 400 E Polk St, Washington, IA 52353-1237 | 2016-04-06 |
| 1396114872 | Mary Theresa Josephine Seddon | Pharmacist | 400 E Polk St, Washington, IA 52353-1237 | 2015-09-15 |
| 1871993105 | Amanda Brocksieck | Nurse Practitioner | 400 E Polk St, Washington, IA 52353-1237 | 2014-08-22 |
| 1518216852 | Katie D Mitchell | Pharmacist | 400 E Polk St, Washington, IA 52353-1237 | 2012-08-31 |
| 1255602942 | Midori Gingerich | Dietitian, Registered | 400 E Polk St, Washington, IA 52353-1237 | 2012-01-26 |
| 1386914828 | Michael C Mcgowan | Nurse Anesthetist, Certified Registered | 400 E Polk St, Washington, IA 52353 | 2011-12-30 |
| 1205086337 | Sumin Tammy Li | General Practice | 400 E Polk St, Washington, IA 52353-1237 | 2008-09-25 |
| 1366656530 | Washington County Hospital | Emergency Medicine | 400 E Polk St, Washington, IA 52353-1237 | 2007-05-09 |
| 1063567964 | Pamela V Gedney | Nurse Practitioner | 400 E Polk St, Washington, IA 52353-1237 | 2007-01-24 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1386282994 | United Presbyterian Home | Occupational Therapy Assistant | 31 Maple Lane, Washington, IA 52353 | 2019-12-13 |
| 1306001110 | Dental Care By The Square | Point of Service | 1051 West Madison Street, Washington, IA 52353 | 2008-07-21 |
| 1174727242 | Washington County Mini Bus Inc | Bus | 1010 W 5th, Washington, IA 52353 | 2007-06-13 |
| 1538373717 | Washington County Hospital | Medicare Defined Swing Bed Unit | 400 East Polk Street, Washington, IA 52353 | 2007-05-09 |
| 1194946459 | James Lewis Vanwinkle | Pharmacist | 400 E Polk, Washington, IA 52353 | 2007-05-02 |
| 1780701094 | Kim D Malichky | Pharmacist | 528 S Hwy #1, Washington, IA 52353 | 2007-03-23 |
| 1154736916 | Kelsey Renee Bayliss | Pharmacist | 222 S Iowa Ave, Washington, IA 52353 | 2014-06-30 |
| 1689896532 | Todd Lynn Salow | Chiropractor | 112 E Washington St, Washington, IA 52353 | 2007-05-02 |
| 1285696906 | Family Counseling Services LLC | Social Worker | 110 N Iowa Ave, Suite 510, Washington, IA 52353 | 2006-04-06 |
| 1376537027 | Washington County Ambulance, Inc. | Ambulance | 1120 N 8th Ave, Box 371, Washington, IA 52353-0371 | 2005-09-08 |
| Find all providers in zip 52353 | ||||
| Taxonomy Code | 313M00000X |
| Grouping | Nursing & Custodial Care Facilities |
| Classification | Nursing Facility/Intermediate Care Facility |
| An institution (or a distinct part of an institution) which- (1) is primarily engaged in providing to residents- (A) skilled nursing care and related services for residents who require medical or nursing care, (B) rehabilitation services for the rehabilitation of injured, disabled, or sick persons, or, on a regular basis, health-related care and services to individuals who because of their mental or physical condition require care and services (above the level of room and board) which can be made available to them only through institutional facilities, and is not primarily for the care and treatment of mental diseases; (2) has in effect a transfer agreement with one or more hospitals. |
| Notes: Source: Paraphrased from Section 1919 (a) of the Social Security Act. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1639415094 | American Quality Home Care Services Inc. | Nursing Facility/Intermediate Care Facility | 1215 Holbrook Ter Ne Apt 2, Washington, DC 20002-2714 | 2012-12-12 |
| 1700141769 | Wepa Enterprises Inc. | Nursing Facility/Intermediate Care Facility | 155 N 300 W, Washington, UT 84780-1520 | 2012-07-05 |
| 1659673374 | Holy Family Services, LLC | Nursing Facility/Intermediate Care Facility | 6210 N Capitol St Nw Ste 6, Washington, DC 20011-1416 | 2010-12-01 |
| 1396860615 | Individual Development Inc | Nursing Facility/Intermediate Care Facility | 1230 Congress Street Se, Washington, DC 20032 | 2007-03-20 |
| 1609920644 | Rcm of Washington, Inc | Nursing Facility/Intermediate Care Facility | 64 New York Ave Ne, Suite 100, Washington, DC 20002-3320 | 2007-01-23 |
| 1588653604 | Jeanne Jugan Residence Little Sisters of The Poor | Nursing Facility/Intermediate Care Facility | 4200 Harewood Rd Ne, Washington, DC 20017-1550 | 2005-10-20 |
| 1679568091 | Centennial Homestead Inc. | Nursing Facility/Intermediate Care Facility | 311 E 2nd St, Washington, KS 66968-2028 | 2005-09-12 |
| 1306839501 | Washington Care Center | Nursing Facility/Intermediate Care Facility | 601 E Polk St, Washington, IA 52353-1238 | 2005-08-24 |
| 1093109860 | Senior Life Washington | Nursing Facility/Intermediate Care Facility | 2114 N Franklin Dr, Washington, PA 15301-5891 | 2015-03-19 |
| 1285821611 | Britthaven, Inc. | Nursing Facility/Intermediate Care Facility | 250 Lovers Ln, Washington, NC 27889-3436 | 2007-10-01 |
| Find all providers in WASHINGTON | ||||
| City | WASHINGTON |
| Zip Code | 52353 |
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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.