BOONE COUNTY HOSPITAL (NPI# 1649360892) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1649360892 |
| Entity Type | Organization |
| Organization Name | BOONE COUNTY HOSPITAL |
| Other Organization Name | BOONE COUNTY HOSPITAL HEALTHCARE CENTER |
| Practice Address |
1015 Union St Boone IA 50036-4821 |
| Practice Telephone | 5154323140 |
| Practice Fax Number | 5154338905 |
| Mailing Telephone | 5154323140 |
| Mailing Fax Number | 5154338905 |
| Enumeration Date | 2006-10-16 |
| Last Update Date | 2013-11-13 |
| Authorized Official Name | MR. JOSEPH S SMITH (CEO) |
| Authorized Official Telephone | 5154338480 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 314000000X | Skilled Nursing Facility | Nursing & Custodial Care Facilities |
| Other Name | Type Code |
|---|---|
| Boone County Hospital Healthcare Center | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1952847410 | Boone County Hospital | Physical Therapist | 317 W Walnut St, Ogden, IA 50212-3048 | 2017-01-09 |
| 1972509479 | Boone County Hospital | Home Health | 105 S Marshall St, Boone, IA 50036-4899 | 2005-06-21 |
| 1942664602 | Boone County Hospital | Clinic/Center | 120 S Story St, Boone, IA 50036-4739 | 2016-04-08 |
| 1578924320 | Boone County Hospital | Clinic/Center | 1015 Union St, Boone, IA 50036-4821 | 2016-03-08 |
| 1730503319 | Boone County Hospital | Clinic/Center | 320 W Walnut St, Ogden, IA 50212-0820 | 2014-02-18 |
| 1427259696 | Boone County Hospital | Orthopaedic Surgery | 1015 Union St, Suite 119, Boone, IA 50036-4821 | 2007-05-29 |
| 1619017282 | Boone County Hospital | Registered Nurse | 1015 Union St, Boone, IA 50036-4821 | 2007-02-06 |
| 1942385679 | Boone County Hospital | Emergency Medical Technician, Intermediate | 1015 Union St, Boone, IA 50036-4821 | 2006-10-25 |
| 1861589129 | Boone County Hospital | Medicare Defined Swing Bed Unit | 1015 Union St, Boone, IA 50036-4821 | 2006-10-06 |
| 1467434225 | Boone County Hospital | General Acute Care Hospital | 1015 Union St, Boone, IA 50036-4821 | 2005-11-17 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| System for Award Management (SAM) Entities | BOONE COUNTY HOSPITAL | 1015 Union St, Boone, IA 50036-4821 |
| Iowa Business Entities | BOONE COUNTY HOSPITAL FOUNDATION | 1015 Union Street, Boone, IA 50036 |
| System for Award Management (SAM) Entities | BOONE COUNTY HOSPITAL FOUNDATION | 1015 Union St, Boone, IA 50036-4821 |
| Street Address |
1015 UNION ST |
| City | BOONE |
| State | IA |
| Zip Code | 50036-4821 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1427051135 | Tamara S Chance | Emergency Medicine | 1015 Union St, Boone, IA 50036-4821 | 2005-05-27 |
| 1649752452 | Tessa Kleinwolterink | Occupational Therapist | 1015 Union St, Boone, IA 50036-4821 | 2018-08-29 |
| 1174987341 | Mindy Royster | Nurse Practitioner | 1015 Union St, Boone, IA 50036-4821 | 2016-04-13 |
| 1578924320 | Boone County Hospital | Clinic/Center | 1015 Union St, Boone, IA 50036-4821 | 2016-03-08 |
| 1023477486 | Kathy Ann Steffen | Physical Therapist | 1015 Union St, Boone, IA 50036-4821 | 2016-02-15 |
| 1639538291 | Brent Allen Drzycimski | Physical Therapist | 1015 Union St, Boone, IA 50036-4821 | 2016-02-11 |
| 1821499740 | Melinda Holly Altman | Nurse Practitioner | 1015 Union St, Boone, IA 50036-4821 | 2014-09-10 |
| 1528303260 | Angela Dawn Walsh | Physical Therapy Assistant | 1015 Union St, Boone, IA 50036-4821 | 2012-12-06 |
| 1750626701 | Ronald Jacob Stotts | Physical Therapist | 1015 Union St, Boone, IA 50036-4821 | 2012-12-03 |
| 1861737942 | Kyla Goza | Physical Therapy Assistant | 1015 Union St, Boone, IA 50036-4821 | 2012-11-30 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1235639287 | Danielle A'lyce Bennett | Counselor | 1332 S Marshall St, Boone, IA 50036 | 2018-02-16 |
| 1588170567 | Melissa Joan Bartlett | Audiologist | 428 Story St, Boone, IA 50036 | 2017-12-28 |
| 1144544560 | Katherine M Dinges | Counselor | 806 7th St Unit U2, Boone, IA 50036 | 2010-03-15 |
| 1437338936 | Matthew John Sprecher | Chiropractor | 814 7th St, Boone, IA 50036 | 2007-10-31 |
| 1275662751 | Chris A Gage | Pharmacist | 310 Story Str, Boone, IA 50036 | 2007-03-02 |
| 1508919416 | Rxpert Inc | Pharmacy | 102 S Story St, Boone, IA 50036 | 2007-01-22 |
| 1376609677 | United Community School District | Local Education Agency (LEA) | 1284 U Avenue, Boone, IA 50036 | 2006-12-29 |
| 1245204692 | Renee Lynn Montag | Chiropractor | 806 7th St, Boone, IA 50036 | 2006-02-14 |
| 1316911761 | Raphael Martin Montag | Chiropractor | 806 7th St, Boone, IA 50036 | 2006-02-14 |
| 1013061753 | Boone County Transportation Service, Inc. | Bus | 328 Snedden Drive, Boone, IA 50036-0032 | 2007-01-22 |
| Find all providers in zip 50036 | ||||
| Taxonomy Code | 314000000X |
| Grouping | Nursing & Custodial Care Facilities |
| Classification | Skilled Nursing Facility |
| (1) A skilled nursing facility is a facility or distinct part of an institution whose primary function is to provide medical, continuous nursing, and other health and social services to patients who are not in an acute phase of illness requiring services in a hospital, but who require primary restorative or skilled nursing services on an inpatient basis above the level of intermediate or custodial care in order to reach a degree of body functioning to permit self care in essential daily living. It meets any licensing or certification standards et forth by the jurisdiction where it is located. A skilled nursing facility may be a freestanding facility or part of a hospital that has been certified by Medicare to admit patients requiring subacute care and rehabilitation; (2) Provides non-acute medical and skilled nursing care services, therapy and social services under the supervision of a licensed registered nurse on a 24-hour basis. |
| Notes: Source: (1) "Glossary of terms used in managed care" Developed by the Managed Care Assembly (MCA) of Medical Group Management Association (MGMA), MGM Journal, September/October 1995, p. 64; (2) AHA Guide, 1996 Annual Survey. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1477511079 | Glenbridge Health and Rehabilitation Center, LLC | Skilled Nursing Facility | 211 Milton Brown Heirs Rd, Boone, NC 28607-8708 | 2006-05-03 |
| 1740283795 | Eastern Star Masonic Home | Skilled Nursing Facility | 715 W 3rd St, Boone, IA 50036-3930 | 2005-05-23 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1326647165 | Ema Rehabilitation, LLC | Skilled Nursing Facility | 1831 E Kanesville Blvd, Council Bluffs, IA 51503-4767 | 2020-10-22 |
| 1770198855 | Wellspire-bettendorf LLC | Skilled Nursing Facility | 4699 53rd Ave, Bettendorf, IA 52722 | 2020-09-15 |
| 1114547395 | Bvm-phs Senior Housing Inc | Skilled Nursing Facility | 1160 Carmel Dr, Dubuque, IA 52003-7911 | 2020-04-17 |
| 1659920320 | Phs Walnut Ridge LLC | Skilled Nursing Facility | 1703 Campus Drive, Clive, IA 50325 | 2019-09-05 |
| 1992354666 | Phs Council Bluffs, Inc | Skilled Nursing Facility | 16 Valley View Drive, Council Bluffs, IA 51503 | 2019-09-05 |
| 1023679057 | Bcp Union Park, LLC | Skilled Nursing Facility | 2401 E 8th St, Des Moines, IA 50316-1717 | 2019-06-20 |
| 1639637143 | Wellspire LLC | Skilled Nursing Facility | 5508 Nw 88th St, Johnston, IA 50131-3005 | 2019-03-05 |
| 1356807101 | Accura Healthcare of Aurelia LLC | Skilled Nursing Facility | 401 W 5th St, Aurelia, IA 51005-7712 | 2019-02-18 |
| 1093286395 | Ccrc of West Des Moines, LLC | Skilled Nursing Facility | 8950 Coachlight Drive, West Des Moines, IA 50266 | 2018-12-12 |
| 1255828919 | Brio of Johnston, LLC | Skilled Nursing Facility | 6901 Peckham St, Johnston, IA 50131-3143 | 2018-04-18 |
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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.