GREAT RIVER MEDICAL CENTER (NPI# 1639158595) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1639158595 |
| Entity Type | Organization |
| Organization Name | GREAT RIVER MEDICAL CENTER |
| Practice Address |
1221 S Gear Ave West Burlington IA 52655-1679 |
| Practice Telephone | 3197683626 |
| Enumeration Date | 2006-01-10 |
| Last Update Date | 2018-10-01 |
| Authorized Official Name | MATTHEW WENZEL (CEO/PRESIDENT) |
| Authorized Official Telephone | 3197683260 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 273Y00000X | Rehabilitation Unit | 290147H | IA | Hospital Units |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| IA | INPATIENT REHABILITATION | 6T057 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1265411144 | Great River Medical Center | Nursing Facility/Intermediate Care Facility | 1307 S Gear Ave, West Burlington, IA 52655-1604 | 2006-01-10 |
| 1053315002 | Great River Medical Center | Hospice Care, Community Based | 1306 S Washington Rd, West Burlington, IA 52655-1703 | 2005-06-08 |
| 1811068646 | Great River Medical Center | General Acute Care Hospital | 1520 N Division St, Blytheville, AR 72315-1448 | 2006-11-13 |
| 1164433884 | Great River Medical Center | Emergency Medical Technician, Basic | 1221 S Gear Ave, West Burlington, IA 52655-1679 | 2006-08-10 |
| 1134168263 | Great River Medical Center | General Acute Care Hospital | 1221 S Gear Ave, West Burlington, IA 52655-1679 | 2006-06-05 |
| 1760461644 | Great River Medical Center | Home Health | 1306 S Washington Rd, West Burlington, IA 52655-1703 | 2006-01-10 |
| 1598744476 | Great River Medical Center | Home Delivered Meals | 1221 S Gear Ave, West Burlington, IA 52655-1679 | 2006-01-10 |
| 1386623262 | Great River Medical Center | Nursing Facility/Intermediate Care Facility | 1307 S Gear Ave, West Burlington, IA 52655-1604 | 2006-01-10 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| Iowa Business Entities | GREAT RIVER MEDICAL CENTER | 1221 S. Gear Ave, West Burlington, IA 52655 |
| Iowa Business Entities | GREAT RIVER MEDICAL CENTER STAFF FOUNDATION | 200 Jefferson Street, Burlington, IA 52601 |
| Street Address |
1221 S GEAR AVE |
| City | WEST BURLINGTON |
| State | IA |
| Zip Code | 52655-1679 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1013536820 | Sean R West | Physical Therapist | 1221 S Gear Ave, West Burlington, IA 52655-1679 | 2020-04-11 |
| 1316566268 | Debra Lynn Herrick | Speech-Language Pathologist | 1221 S Gear Ave, West Burlington, IA 52655-1679 | 2020-04-10 |
| 1356980031 | Justine Link | Nurse Practitioner | 1221 S Gear Ave, West Burlington, IA 52655-1679 | 2019-12-30 |
| 1841838638 | Julie Ann Snavely | Occupational Therapist | 1221 S Gear Ave, West Burlington, IA 52655-1679 | 2019-12-12 |
| 1033757828 | Jill Ann Nealey | Occupational Therapist | 1221 S Gear Ave, West Burlington, IA 52655-1679 | 2019-12-12 |
| 1861049454 | Jennifer L Hellman | Occupational Therapist | 1221 S Gear Ave, West Burlington, IA 52655-1679 | 2019-08-20 |
| 1659841690 | Andrew Robert Klein | Physician Assistant | 1221 S Gear Ave, West Burlington, IA 52655-1679 | 2018-12-03 |
| 1013498120 | Seth Olson | Physical Therapist | 1221 S Gear Ave, West Burlington, IA 52655-1679 | 2018-08-27 |
| 1447730882 | Carmen Johnson | Physical Therapist | 1221 S Gear Ave, West Burlington, IA 52655-1679 | 2018-08-15 |
| 1164918330 | Adam Mcmann | Registered Nurse | 1221 S Gear Ave, West Burlington, IA 52655 | 2018-07-10 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1679920045 | Breanne Vogel | Nurse Practitioner | 1225 South Gear Avenue, Suite 159, Great River Family Practice Clinic, West Burlington, IA 52655 | 2016-05-16 |
| 1639538010 | Kala Haisch | Nurse Practitioner | 1225 S. Gear Ave., Mercy Plaza, Suite 251, West Burlington, IA 52655 | 2016-02-15 |
| 1326305830 | Ryan Deets | Surgery | 1223 S Gear Ave Ste 202, West Burlington, IA 52655 | 2012-04-20 |
| 1912100173 | Jennifer Yancey | Dietitian, Registered | Great River Medical Center Center for Rehabilitation, 1401 W. Agency Rd., West Burlington, IA 52655 | 2007-06-06 |
| 1043348196 | Wilson Hearing Aids & Services Inc | Hearing Instrument Specialist | 313 E Agency Rd, West Burlington, IA 52655 | 2007-03-01 |
| 1730286204 | Eric A Hanks | Chiropractor | 433 E Mt Pleasant St, West Burlington, IA 52655 | 2006-09-19 |
| 1093825176 | Michael Steven Mathews | Dentist | 409 Layne Dr, West Burlington, IA 52655 | 2006-08-30 |
| 1952383259 | Craig Huston | Emergency Medical Technician, Basic | 1221d S Gear Ave, West Burlington, IA 52655 | 2005-11-14 |
| 1932101466 | Theron Jameson | Specialist | 1225 S Gear Ave, Ste 159, West Burlington, IA 52655 | 2005-08-15 |
| 1255339750 | Community Health Centers of Southeastern Iowa Inc | Internal Medicine | 1706 West Agency Road, West Burlington, IA 52655 | 2005-07-08 |
| Find all providers in zip 52655 | ||||
| Taxonomy Code | 273Y00000X |
| Grouping | Hospital Units |
| Classification | Rehabilitation Unit |
| In general, a distinct unit of a general acute care hospital that provides care encompassing a comprehensive array of restoration services for the disabled and all support services necessary to help patients attain their maximum functional capacity. Source: AHA Annual Survey p. A10 1996 AHA Guide. For Medicare, a distinct part of a general acute care hospital providing inpatient rehabilitation services that meets the following requirements. Rehabilitation Units have in effect a preadmission screening procedure under which each prospective patient’s condition and medical history are reviewed to determine whether the patient is likely to benefit significantly from an intensive inpatient program or assessment; ensure that the patients receive close medical supervision and furnish, through the use of qualified personnel, rehabilitation nursing, physical therapy and occupational therapy, plus, as needed, speech therapy, social services or psychological services and orthotic and prosthetic services; have a plan of treatment for each inpatient that is established, reviewed, and revised as needed by a physician in consultation with other professional personnel who provide services to the patient; use a coordinated multidisciplinary team approach in the rehabilitation of each inpatient, as documented by periodic clinical entries made in the patient’s medical record to note the patient's status in relationship to goal attainment, and that team conferences are held at least every two weeks to determine the appropriateness of treatment; have a director of rehabilitation who provides services to the unit and its inpatients for at least 20 hours a week, is a doctor of medicine or osteopathy, is licensed under State law to practice medicine or surgery, and has had, after completing a one-year hospital internship at least two years of training or experience in the medical management of inpatients requiring rehabilitation services. |
| Notes: Source: Code of Federal Regulations #42, Section 412.29. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1720553944 | Riceville Community Rest Home | Rehabilitation Unit | 3327 370th St, Riceville, IA 50466-8006 | 2018-10-04 |
| 1932140969 | Covenant Medical Center Inc | Rehabilitation Unit | 3421 West Ninth Street, Waterloo, IA 50702-5401 | 2006-06-09 |
| 1225379043 | La Speech Therapy PC | Rehabilitation Unit | 207 W 2nd St, Suite 4, Ottumwa, IA 52501-2541 | 2013-03-04 |
| 1477879195 | Rchp - Ottumwa LLC | Rehabilitation Unit | 1001 Pennsylvania Ave, Ottumwa, IA 52501-2186 | 2010-04-20 |
| 1467639062 | Mercy Medical Center | Rehabilitation Unit | 701 10th St Se, Cedar Rapids, IA 52403-1251 | 2008-01-25 |
| 1174653232 | Mercy Medical Center-clinton, Inc. | Rehabilitation Unit | 1410 N 4th St, Clinton, IA 52732-2940 | 2007-03-07 |
| 1922163922 | Catholic Health Initiatives Iowa Corp | Rehabilitation Unit | 1111 6th Ave, Main-4n, Des Moines, IA 50314-2613 | 2006-12-27 |
| 1952465320 | Ottumwa Regional Health Center, Inc | Rehabilitation Unit | 1001 Pennsylvania Ave, Ottumwa, IA 52501-6427 | 2006-12-20 |
| 1245329960 | Hegg Memorial Hospital | Rehabilitation Unit | 1202 21st Ave, Rock Valley, IA 51247-1420 | 2006-10-12 |
| 1295824001 | Mercy Health Services-iowa Corp | Rehabilitation Unit | 910 N Eisenhower Ave, Mason City, IA 50401-1525 | 2006-10-11 |
| Find all providers with the same taxonomy | ||||
| City | WEST BURLINGTON |
| Zip Code | 52655 |
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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.