ALLEN MEMORIAL HOSPITAL CORPORATION (NPI# 1659461572) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1659461572 |
| Entity Type | Organization |
| Organization Name | ALLEN MEMORIAL HOSPITAL CORPORATION |
| Other Organization Name | ALLEN CLINIC PHARMACY |
| Practice Address |
146 W Dale St Suite 103 Waterloo IA 50703-1901 |
| Practice Telephone | 3192353777 |
| Practice Fax Number | 3192353134 |
| Mailing Telephone | 3192353777 |
| Mailing Fax Number | 3192353134 |
| Enumeration Date | 2006-10-13 |
| Last Update Date | 2016-11-07 |
| Authorized Official Name | AMY BUCKNELL (PIC) |
| Authorized Official Telephone | 3192353134 |
| Authorized Official Credential | PHARMD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 3336C0002X |
Pharmacy Specialization: Clinic Pharmacy |
950 | IA | Suppliers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| IA | 1618377 | 05 | |
| PK | 2029507 | 01 |
| Other Name | Type Code |
|---|---|
| ALLEN CLINIC PHARMACY | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1346336484 | Allen Memorial Hospital Corporation | Public Health or Welfare | 704 1/2 H Ave, Suite 3, Grundy Center, IA 50638-1446 | 2006-10-05 |
| 1104912203 | Allen Memorial Hospital Corporation | Home Health | 1117 Maxhelen Blvd, Waterloo, IA 50701-9346 | 2006-10-05 |
| 1598215659 | Allen Memorial Hospital Corporation | Pharmacy | 5100 Prairie Pkwy Ste 106, Cedar Falls, IA 50613-8155 | 2016-10-12 |
| 1942584784 | Allen Memorial Hospital Corporation | Rehabilitation Hospital | 1825 Logan Ave, Waterloo, IA 50703-1999 | 2011-09-28 |
| 1255657466 | Allen Memorial Hospital Corporation | Durable Medical Equipment & Medical Supplies | 1717 W Ridgeway Ave, Suite 50a, Waterloo, IA 50701-4543 | 2010-04-13 |
| 1982739082 | Allen Memorial Hospital Corporation | Public Health or Welfare | 1825 Logan Ave, Waterloo, IA 50703-1916 | 2007-02-22 |
| 1609951276 | Allen Memorial Hospital Corporation | Home Health | 1825 Logan Ave, Waterloo, IA 50703-1916 | 2006-10-25 |
| 1588750699 | Allen Memorial Hospital Corporation | Home Health | 1825 Logan Ave, Waterloo, IA 50703-1916 | 2006-10-05 |
| 1508958265 | Allen Memorial Hospital Corporation | Skilled Nursing Facility | 1825 Logan Ave, Waterloo, IA 50703-1916 | 2006-09-29 |
| 1336231091 | Allen Memorial Hospital Corporation | General Acute Care Hospital | 1825 Logan Ave, Waterloo, IA 50703-1916 | 2006-09-29 |
| Street Address |
146 W DALE ST SUITE 103 |
| City | WATERLOO |
| State | IA |
| Zip Code | 50703-1901 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1366428559 | Hridendra N Basu | Internal Medicine | 146 W Dale St, Suite 201, Waterloo, IA 50703-1901 | 2005-12-20 |
| 1083077465 | Karlea J Norby | Advanced Practice Midwife | 146 W Dale St, Suite 102, Waterloo, IA 50703-1901 | 2016-04-01 |
| 1588047021 | Kimberlee Kay Borneman | Advanced Practice Midwife | 146 W Dale St, Suite 102, Waterloo, IA 50703-1901 | 2015-07-01 |
| 1801211693 | Jessica Frana | Nurse Practitioner | 146 W Dale St, Suite 201, Waterloo, IA 50703-1901 | 2014-03-03 |
| 1578828406 | Breanna C. Herring | Advanced Practice Midwife | 146 W Dale St, Suite 102, Waterloo, IA 50703-1901 | 2012-07-06 |
| 1700149366 | Ahmad A Alwassia | Internal Medicine | 146 W Dale St, Suite 203, Waterloo, IA 50703-1901 | 2012-06-19 |
| 1093076671 | Vara Venkata Padma Kamala Kumari Ponnada | Family Medicine | 146 W Dale St, Suite 201, Waterloo, IA 50703-1901 | 2012-05-31 |
| 1154637692 | Joellen Cizek Kubik | Nurse Practitioner | 146 W Dale St, Suite 101, Waterloo, IA 50703-1901 | 2010-08-22 |
| 1295058113 | Angela Mae Woods | Social Worker | 146 W Dale St, Ste 101, Waterloo, IA 50703-1901 | 2010-03-05 |
| 1942455746 | Jayachandra Babu Vavilathota | Student in an Organized Health Care Education/Training Program | 146 W Dale St, Suite 201, Waterloo, IA 50703-1901 | 2008-11-20 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1306363841 | Kristie Wood | Counselor | 1420 W. Donald St, Waterloo, IA 50703 | 2017-08-25 |
| 1215359054 | Chuck Corwin | Counselor | 607 Sycamore Street, Suite 300, Waterloo, IA 50703 | 2014-01-14 |
| 1679672554 | Linda D Bartollas | Social Worker | 146 West Dale Street, Suite 101, Waterloo, IA 50703 | 2006-09-21 |
| 1558477745 | Brent Matthew Hintz | Obstetrics & Gynecology | 212 West Dale St., Suite 402, Waterloo, IA 50703 | 2006-08-21 |
| 1588629729 | Mir Ahmad Waziri | Pediatrics | 212 W Dale Street, Suite 302, Waterloo, IA 50703 | 2006-04-19 |
| 1568432615 | Wei Yang | Pathology | Northeast Iowa Pathology Associates, PC, 1825 Logan Avenue, Waterloo, IA 50703 | 2006-01-23 |
| 1689158040 | Megan Elizabeth O'neal | Nurse Practitioner | 1631 Logan Ave, Waterloo, IA 50703 | 2018-09-21 |
| 1972031359 | Stephanie Rose Smith | Nurse Practitioner | 1631 Logan Ave, Waterloo, IA 50703 | 2017-05-30 |
| 1801263462 | Krissy Jean Wieland | Nurse Practitioner | 220 Franklin St, Waterloo, IA 50703 | 2015-08-28 |
| 1699169698 | Jens Masters Olsen | Emergency Medicine | 1825 Logan Ave, Waterloo, IA 50703 | 2015-03-27 |
| Find all providers in zip 50703 | ||||
| Taxonomy Code | 3336C0002X |
| Grouping | Suppliers |
| Classification | Pharmacy |
| Specialization | Clinic Pharmacy |
| A pharmacy in a clinic, emergency room or hospital (outpatient) that dispenses medications to patients for self-administration under the supervision of a pharmacist. |
| Notes: Source: Developed by National Council for Prescription Drug Programs (NCPDP), National Home Infusion Association (NHIA), and Pharmacist Services Technical Advisory Coalition (PSTAC) [1/1/2006: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1801264072 | The Finley Hospital | Pharmacy | 8456 Peosta Commercial Ct, Peosta, IA 52068-7123 | 2015-09-04 |
| 1811246473 | State University of Iowa | Pharmacy | 105 E 9th Street, Suite A, Coralville, IA 52241 | 2012-08-29 |
| 1346376332 | Tshc Pharmacy | Pharmacy | 2260 Thielen Student Health Center, Union & Sheldon, Ames, IA 50011-2260 | 2007-02-26 |
| 1770656860 | St Anthony Westside Pharmacy | Pharmacy | 235 Highway 30, Westside, IA 51467 | 2006-11-16 |
| 1295827913 | Atlantic Medical Center Pharmacy, Inc | Pharmacy | 1501 E 10th St Ste 102, Atlantic, IA 50022-1936 | 2006-09-29 |
| 1588274302 | People's Memorial Hospital | Pharmacy | 2405 Rock Island Rd, Oelwein, IA 50662-3102 | 2020-08-06 |
| 1124496815 | The Finley Hospital | Pharmacy | 350 N Grandview Ave, Dubuque, IA 52001-6388 | 2015-09-11 |
| 1174845101 | State University of Iowa | Pharmacy | 3056 River Crossing Court, Ste A, Riverside, IA 52327 | 2010-02-18 |
| 1851620066 | William Burke Ltd | Pharmacy | 129 W Locust St, Davenport, IA 52803-2803 | 2009-12-17 |
| 1144495789 | Health Matters | Pharmacy | 230 Scott Ct, Iowa City, IA 52245-3997 | 2008-04-24 |
| 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.