GRINNELL REGIONAL MEDICAL CENTER (NPI# 1720154263) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1720154263 |
| Entity Type | Organization |
| Organization Name | GRINNELL REGIONAL MEDICAL CENTER |
| Other Organization Name | VICTOR HEALTH CENTER |
| Practice Address |
709 2nd St Victor IA 52347-7709 |
| Practice Telephone | 3196477511 |
| Practice Fax Number | 3196477521 |
| Mailing Telephone | 3196477511 |
| Mailing Fax Number | 3196477521 |
| Enumeration Date | 2006-11-27 |
| Last Update Date | 2018-01-13 |
| Authorized Official Name | MR. KYLE M WILCOX (CFO) |
| Authorized Official Telephone | 6412362919 |
| Is Organization Subpart | Y |
| Parent Organization Name | GRINNELL REGIONAL MEDICAL CENTER |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 207Q00000X | Family Medicine | Allopathic & Osteopathic Physicians | ||
| N | 363A00000X | Physician Assistant | Physician Assistants & Advanced Practice Nursing Providers | ||
| Y | 261QR1300X |
Clinic/Center Specialization: Rural Health |
Ambulatory Health Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| IA | 0685107 | 05 |
| Other Name | Type Code |
|---|---|
| VICTOR HEALTH CENTER | 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 |
| 1639567910 | Grinnell Regional Medical Center | Obstetrics & Gynecology | 210 4th Ave, Grinnell, IA 50112-1898 | 2015-01-08 |
| 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 |
| 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 |
709 2ND ST |
| City | VICTOR |
| State | IA |
| Zip Code | 52347-7709 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1295918944 | H-l-v Csd | Local Education Agency (LEA) | 501 4th Street, Victor, IA 52347 | 2007-12-17 |
| 1073501938 | Mcld Corporation | Pharmacy | 205 Washington St, Victor, IA 52347 | 2005-10-13 |
| 1437200243 | Hlv Community School District | Student in an Organized Health Care Education/Training Program | 501 4th St, Victor, IA 52347 | 2007-01-16 |
| 1992215529 | Hy Vee Inc | Pharmacy | 205 Washington St, Victor, IA 52347-7778 | 2017-10-10 |
| 1083965073 | Thompson & Thompson Long Term Care | Pharmacy | 205 Washington St, Victor, IA 52347-7778 | 2012-10-01 |
| 1184794174 | Mcld Corporation | Pharmacy | 205 Washington St, Victor, IA 52347-7778 | 2006-11-08 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1508467051 | Janene Caldwell Witherite | General Practice | 1077 Stellar End Rd, Victor, ID 83455-4973 | 2020-11-02 |
| 1326647579 | Mallory Taylor | Technician | 16 Taylor Dr, Victor, WV 25938-7810 | 2020-10-20 |
| 1861090219 | Suzanne Moore Wilbrecht | Advanced Practice Midwife | 4800 S 1000 E, Victor, ID 83455-5443 | 2020-10-16 |
| 1891393906 | Finger Lakes Podiatry of Geneva, Pllc | Podiatrist | 220 Phoenix Mills Plz, Victor, NY 14564-1414 | 2020-10-12 |
| 1356958268 | Bj's Wholesale Club Inc. | Eyewear Supplier (Equipment, not the service) | 50 Eastview Mall Dr, Victor, NY 14564-1003 | 2020-09-24 |
| 1467071811 | Cassidy Paige Howarth | Pharmacist | 5861 Victor Meadows Dr, Victor, ID 83455-5482 | 2020-04-15 |
| 1134758154 | Shannon Hochhalter | Lactation Consultant, Non-RN | 963 Legendary Ln, Victor, MT 59875 | 2020-04-02 |
| 1184259384 | Ellen C Reed | Licensed Practical Nurse | 6992 Royce Cir, Victor, NY 14564-9554 | 2020-03-08 |
| 1679106066 | Debole Chiropractic Pllc | Chiropractor | 6280 Route 96 Ste E, Victor, NY 14564-1408 | 2020-02-13 |
| 1285271114 | Victor Dental Care Pllc | Dentist | 6536 Anthony Dr Ste A, Victor, NY 14564-1419 | 2019-12-10 |
| Find all providers in VICTOR | ||||
| Taxonomy Code | 261QR1300X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Rural Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1962949982 | Marcus Daly Memorial Hospital Corporation | Clinic/Center | 2386 Us Highway 93 N, Victor, MT 59875 | 2017-01-28 |
| 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.