GREATER REGIONAL MEDICAL CENTER (NPI# 1639684335) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1639684335 |
| Entity Type | Organization |
| Organization Name | GREATER REGIONAL MEDICAL CENTER |
| Other Organization Name | MOUNT AYR COMMUNITY HEALTH CLINIC |
| Practice Address |
120 S Taylor St Mount Ayr IA 50854-1829 |
| Mailing Address |
1700 W Townline St Creston IA 50801-1054 |
| Practice Telephone | 6414648971 |
| Mailing Telephone | 6417827091 |
| Mailing Fax Number | 6417823830 |
| Enumeration Date | 2017-12-05 |
| Last Update Date | 2019-01-31 |
| Authorized Official Name | MATTHEW L MCCUTCHAN (CFO) |
| Authorized Official Telephone | 6417823899 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 207Q00000X | Family Medicine | Allopathic & Osteopathic Physicians | ||
| Y | 261QR1300X |
Clinic/Center Specialization: Rural Health |
Ambulatory Health Care Facilities |
| Other Name | Type Code |
|---|---|
| MOUNT AYR COMMUNITY HEALTH CLINIC | Doing Business As Name - Organization |
| Mt Ayr Community Medical Clinic | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1902333503 | Greater Regional Medical Center | Clinic/Center | 246 Public Sq, Greenfield, IA 50849-1258 | 2017-05-15 |
| 1902805062 | Greater Regional Medical Center | General Acute Care Hospital | 1700 W Townline St, Creston, IA 50801-1054 | 2005-07-20 |
| 1467458877 | Greater Regional Medical Center | Home Health | 1715 W Prairie St, Suite A, Creston, IA 50801-1325 | 2005-06-22 |
| 1275048977 | Greater Regional Medical Center | Family Medicine | 700 Davis Ave, Corning, IA 50841-1419 | 2017-12-05 |
| 1649360561 | Greater Regional Medical Center | Pharmacy | 1700 W Townline St, Creston, IA 50801-1054 | 2006-10-13 |
| 1346353323 | Greater Regional Medical Center | Nurse Practitioner | 100 S Main St, Lenox, IA 50851-1240 | 2006-08-16 |
| 1639180748 | Greater Regional Medical Center | Medicare Defined Swing Bed Unit | 1700 W Townline St, Creston, IA 50801-1054 | 2006-08-11 |
| 1740251990 | Greater Regional Medical Center | Hospice, Inpatient | 1715 W Prairie St, Suite A, Creston, IA 50801-1325 | 2006-01-27 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| System for Award Management (SAM) Entities | GREATER REGIONAL MEDICAL CENTER | 1700 W Townline St, Creston, IA 50801-1054 |
| Street Address |
120 S TAYLOR ST |
| City | MOUNT AYR |
| State | IA |
| Zip Code | 50854-1829 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1013199009 | Raydeen Elizabeth Derscheid | Nurse Practitioner | 120 S Taylor St, Mount Ayr, IA 50854-1829 | 2007-11-30 |
| 1770932063 | Abigail E Clarkson | Nurse Practitioner | 120 S Taylor St, Mount Ayr, IA 50854-1829 | 2016-06-07 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1972068039 | Hy Vee Inc | Durable Medical Equipment & Medical Supplies | 406 S. Hayes Street, Mount Ayr, IA 50854 | 2019-02-04 |
| 1205218112 | Kathleen Quinn Willcox | Family Medicine | Mount Ayr Medical Clinic, 504 N. Cleveland St, Mount Ayr, IA 50854 | 2015-06-26 |
| 1407944853 | Charles Collus Lawhead | Dentist | 104 So Taylor St, Mount Ayr, IA 50854 | 2006-10-11 |
| 1588738918 | Clearview Estates | Assisted Living Facility | 500 W Columbus St, Mount Ayr, IA 50854-1100 | 2006-11-18 |
| 1356414239 | Ringgold County Group Home | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 111 Ringgold St, Mount Ayr, IA 50854-1215 | 2006-11-16 |
| 1154356681 | Steven R Roe | Pharmacist | 211 Shellway Dr, Mount Ayr, IA 50854-1233 | 2006-07-12 |
| 1952485872 | Clearview-routh Lp | Skilled Nursing Facility | 406 W Washington St, Mount Ayr, IA 50854-1324 | 2006-10-25 |
| 1912035833 | Clearview Homes | Home Delivered Meals | 406 W Washington St, Mount Ayr, IA 50854-1324 | 2007-03-01 |
| 1376629758 | David C Ahnen | Podiatrist | 102 E Adams St, Mount Ayr, IA 50854-1621 | 2006-10-28 |
| 1023229549 | Sudarsan Chavala | Ophthalmology | 102 E Adams St, Suite 2, Mount Ayr, IA 50854-1621 | 2007-05-25 |
| Find all providers in zip 50854 | ||||
| Taxonomy Code | 261QR1300X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Rural Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1154720878 | Ringgold County Hospital | Clinic/Center | 504 N Cleveland St, Ste M, Mount Ayr, IA 50854-2201 | 2014-08-19 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1881294536 | Jefferson County Hospital | Clinic/Center | 107 W Harrison St, Richland, IA 52585-9549 | 2020-10-30 |
| 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 |
| Find all providers with the same taxonomy | ||||
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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.