GRINNELL REGIONAL MEDICAL CENTER (NPI# 1639567910) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1639567910 |
| Entity Type | Organization |
| Organization Name | GRINNELL REGIONAL MEDICAL CENTER |
| Other Organization Name | GRINNELL REGIONAL WOMEN'S HEALTH CLINIC |
| Practice Address |
210 4th Ave Grinnell IA 50112-1898 |
| Practice Telephone | 6412362905 |
| Mailing Telephone | 6412362905 |
| Enumeration Date | 2015-01-08 |
| Last Update Date | 2015-01-22 |
| Authorized Official Name | TODD C. LINDEN (PRESIDENT & CEO) |
| Authorized Official Telephone | 6412367511 |
| Is Organization Subpart | Y |
| Parent Organization Name | GRINNELL REGIONAL MEDICAL CENTER |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207V00000X | Obstetrics & Gynecology | Allopathic & Osteopathic Physicians |
| Other Name | Type Code |
|---|---|
| Grinnell Regional Women's Health Clinic | 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 |
| 1437663242 | Grinnell Regional Medical Center | Internal Medicine | 210 4th Ave, Grinnell, IA 50112-1898 | 2017-12-01 |
| 1023498573 | Grinnell Regional Medical Center | Physician Assistant | 401 1st Ave, Toledo, IA 52342-2129 | 2015-05-30 |
| 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 |
| 1437663242 | Grinnell Regional Medical Center | Internal Medicine | 210 4th Ave, Grinnell, IA 50112-1898 | 2017-12-01 |
| 1508215013 | Katelyn Sue Beyer | Physician Assistant | 210 4th Ave, Grinnell, IA 50112-1898 | 2016-06-06 |
| 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 | 207V00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Obstetrics & Gynecology |
| An obstetrician/gynecologist possesses special knowledge, skills and professional capability in the medical and surgical care of the female reproductive system and associated disorders. This physician serves as a consultant to other physicians and as a primary physician for women. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definiton added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Obstetrics and Gynecology, 2007. http://www.abog.org/. American Osteopathic Board of Obstetrics and Gynecology, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Obstetrics and Gynecology. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Obstetrics and Gynecology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1013530666 | Margaret Elizabeth Long | Obstetrics & Gynecology | 200 Hawkins Dr Dept Obgyn, Iowa City, IA 52242-1009 | 2020-05-18 |
| 1851856132 | Clarke County Public Hospital | Obstetrics & Gynecology | 800 S Fillmore St Ste A&b, Osceola, IA 50213-1619 | 2019-01-31 |
| 1871043570 | Informed Choice of Iowa Corporation | Obstetrics & Gynecology | 821 S Gilbert St, Iowa City, IA 52240-1742 | 2016-10-06 |
| 1730535873 | Herbert Remer | Obstetrics & Gynecology | 7412 Benton Dr, Urbandale, IA 50322-4609 | 2016-05-08 |
| 1356705461 | Sarah Hirsch | Obstetrics & Gynecology | 1500 Delhi St Ste 3100, Dubuque, IA 52001-6361 | 2016-04-06 |
| 1477936169 | David Ilceski | Obstetrics & Gynecology | 804 Kenyon Rd Ste 220, Fort Dodge, IA 50501-5744 | 2015-06-30 |
| 1528477379 | Marcela Ivette Pineda Molina | Obstetrics & Gynecology | 1400 Senate Ave Ste 102, Red Oak, IA 51566 | 2014-08-06 |
| 1588082408 | Kelsey Lee Wagner | Obstetrics & Gynecology | 146 W Dale St Ste 102, Waterloo, IA 50703-1901 | 2014-03-29 |
| 1700224136 | Allison M Boardman | Obstetrics & Gynecology | 855 A Ave Ne Ste 200, Cedar Rapids, IA 52402-5064 | 2013-06-07 |
| 1285977314 | Kristina Nichole Pontarelli | Obstetrics & Gynecology | 864 Cypress Ct, Iowa City, IA 52245-3521 | 2013-03-27 |
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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.