SPENCER MUNICIPAL HOSPITAL (NPI# 1760470298) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1760470298 |
| Entity Type | Organization |
| Organization Name | SPENCER MUNICIPAL HOSPITAL |
| Other Organization Name | SPENCER MUNICIPAL HOSPITAL |
| Practice Address |
1200 1st Ave E Spencer IA 51301-4330 |
| Practice Telephone | 7122646111 |
| Practice Fax Number | 7122646525 |
| Mailing Telephone | 7122646111 |
| Mailing Fax Number | 7122646404 |
| Enumeration Date | 2005-10-10 |
| Last Update Date | 2017-02-17 |
| Authorized Official Name | WILLIAM J BUMGARNER (CHIEF EXECUTIVE OFFICER) |
| Authorized Official Telephone | 7122646111 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 273R00000X | Psychiatric Unit | 37H | IA | Hospital Units |
| Other Name | Type Code |
|---|---|
| Spencer Municipal Hospital | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1790251924 | Spencer Municipal Hospital | Clinic/Center | 116 E 11th St Ste 208, Spencer, IA 51301-4363 | 2018-10-15 |
| 1760479554 | Spencer Municipal Hospital | Clinic/Center | 3150 18th St, Spirit Lake, IA 51360-7468 | 2005-10-05 |
| 1396732186 | Spencer Municipal Hospital | Clinic/Center | 2004 Okoboji Ave, Milford, IA 51351-1271 | 2005-10-05 |
| 1538156039 | Spencer Municipal Hospital | Clinic/Center | 113 2nd St, Sioux Rapids, IA 50585-2057 | 2005-09-30 |
| 1821619479 | Spencer Municipal Hospital | Otolaryngology | 920 Grand Ave, Spencer, IA 51301-3641 | 2020-05-05 |
| 1578108478 | Spencer Municipal Hospital | Podiatrist | 1200 1st Ave E Ste C, Spencer, IA 51301-4342 | 2019-11-14 |
| 1316432826 | Spencer Municipal Hospital | Orthopaedic Surgery | 1200 1st Ave E, Spencer, IA 51301-4330 | 2018-06-27 |
| 1528579141 | Spencer Municipal Hospital | Nurse Practitioner | 1200 1st Ave E, Spencer, IA 51301-4342 | 2017-10-23 |
| 1982113163 | Spencer Municipal Hospital | Non-Pharmacy Dispensing Site | 1200 1st Ave E, Spencer, IA 51301-4342 | 2017-09-20 |
| 1780062273 | Spencer Municipal Hospital | Family Medicine | 116 E 11th St, Suite 101, Spencer, IA 51301-4365 | 2015-05-15 |
| Street Address |
1200 1ST AVE E |
| City | SPENCER |
| State | IA |
| Zip Code | 51301-4330 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1720081524 | Midwest Radiology and Imaging PC | Clinic/Center | 1200 1st Ave E, Spencer, IA 51301-4342 | 2005-05-24 |
| 1508478173 | Deanne Sue Hoger | Registered Nurse | 1200 1st Ave E, Spencer, IA 51301-4342 | 2020-08-17 |
| 1922642552 | Kayla Vanderhoff | Nurse Practitioner | 1200 1st Ave E, Spencer, IA 51301-4342 | 2019-11-06 |
| 1982259214 | Samantha Sheffield | Registered Nurse | 1200 1st Ave E, Spencer, IA 51301-4342 | 2019-08-05 |
| 1780142372 | Keith E Begeman | Nurse Anesthetist, Certified Registered | 1200 1st Ave E, Spencer, IA 51301-4342 | 2019-03-04 |
| 1316432826 | Spencer Municipal Hospital | Orthopaedic Surgery | 1200 1st Ave E, Spencer, IA 51301-4330 | 2018-06-27 |
| 1700383171 | John Sherrill | Student in an Organized Health Care Education/Training Program | 1200 1st Ave E, Spencer, IA 51301-4342 | 2018-04-11 |
| 1528579141 | Spencer Municipal Hospital | Nurse Practitioner | 1200 1st Ave E, Spencer, IA 51301-4342 | 2017-10-23 |
| 1982113163 | Spencer Municipal Hospital | Non-Pharmacy Dispensing Site | 1200 1st Ave E, Spencer, IA 51301-4342 | 2017-09-20 |
| 1548782964 | Laura Ann Armstrong | Hospitalist | 1200 1st Ave E, Spencer, IA 51301-4330 | 2017-07-07 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1508331877 | Angie Marie Wigen | Occupational Therapy Assistant | 1202 11 Th Ave Se, Spencer, IA 51301 | 2018-10-12 |
| 1184040511 | Leisha Fischer | Nurse Practitioner | 116 East 7th Street, Suite 2, Spencer, IA 51301 | 2014-03-10 |
| 1427482199 | Mark Alan De Ruyter | Social Worker | 116 E. 11th St., Spencer, IA 51301 | 2013-08-29 |
| 1467894873 | Daniel Wesley Abbott | Pathology | 116 E 11th St Ste 204, Spencer, IA 51301 | 2013-07-26 |
| 1730437542 | Spencer Convenient Healthcare LLC | Clinic/Center | 116 E. 7th Street, Suite 2, Spencer, IA 51301 | 2012-08-28 |
| 1114065109 | David W Lawrence | Audiologist-Hearing Aid Fitter | 920 North Grand Ave., Spencer, IA 51301 | 2007-02-02 |
| 1548328925 | Burns Chiropractic Center P C | Chiropractor | 1210 West 18th St, Spencer, IA 51301 | 2006-12-05 |
| 1073692661 | Gary Vanhofwegen | Dentist | 18 West 4th St, Spencer, IA 51301 | 2006-11-03 |
| 1952494114 | Medicap Pharmacy | Pharmacy | 829 Grand Ave N, Spencer, IA 51301 | 2006-10-02 |
| 1326131012 | Douglas J Schwartz | Chiropractor | 1204 West 18th St, Spencer, IA 51301 | 2006-10-02 |
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| Taxonomy Code | 273R00000X |
| Grouping | Hospital Units |
| Classification | Psychiatric Unit |
| In general, a distinct unit of a hospital that provides acute or long-term care to emotionally disturbed patients, including patients admitted for diagnosis and those admitted for treatment of psychiatric problems on the basis of physicians' orders and approved nursing care plans. Long-term care may include intensive supervision to the chronically mentally ill, mentally disordered or other mentally incompetent persons; (2) For Medicare, a distinct part of a general acute care hospital admitting only patients whose admission to the unit is required for active treatment, whose treatment is of an intensity that can be provided only in an inpatient hospital setting, and whose condition is described by a psychiatric principal diagnosis contained in the Third Edition of the American Psychiatric Association Diagnostic and Statistical Manual or in Chapter 5 (Mental Disorders) of the International Classification of Diseases, Ninth Revision, Clinical Modification (ICD-9-CM). The unit must furnish, through the use of qualified personnel, psychological services, social work services, psychiatric nursing, occupational therapy, and recreational therapy. The unit must maintain medical records that permit determination of the degree and intensity of treatment provided to individuals who are furnished services in the unit; the unit must meet special staff requirements in that the unit must have adequate numbers of qualified professional and supportive staff to evaluate inpatients, formulate written, individualized, comprehensive treatment plans, provide active treatment measures and engage in discharge planning. |
| Notes: Source: (1) AHA Annual Survey p. A10 1996 AHA Guide; (2) Code of Federal Regulations #42, Section 412.27. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1124346754 | Integris Baptist Medical Center Inc | Psychiatric Unit | 2601 N Spencer Rd, Spencer, OK 73084-3649 | 2010-05-06 |
| 1437560398 | Integris Baptist Medical Center | Psychiatric Unit | 2601 Spencer Rd, Spencer, OK 73084-3649 | 2014-05-14 |
| 1881760759 | Integris Baptist Medical Center Inc | Psychiatric Unit | 2601 Spencer Rd, Spencer, OK 73084-3649 | 2006-11-24 |
| 1659443372 | Integris Baptist Medical Center Inc | Psychiatric Unit | 2601 Spencer Rd, Spencer, OK 73084-3649 | 2006-11-15 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1548646029 | Equality Through Community | Psychiatric Unit | 2525 Princeton Rd, Iowa City, IA 52245-3721 | 2015-08-06 |
| 1356743009 | Mary K Corbin | Psychiatric Unit | 826 Rundell St, Iowa City, IA 52240-6254 | 2014-09-24 |
| 1972667731 | Ellsworth Municipal Hospital | Psychiatric Unit | 110 Rocksylvania Ave, Iowa Falls, IA 50126-2431 | 2006-12-19 |
| 1578002382 | Broadlawns Medical Center | Psychiatric Unit | 1801 Hickman Rd, Des Moines, IA 50314-1505 | 2017-02-14 |
| 1548681091 | Rchp - Ottumwa LLC | Psychiatric Unit | 1001 Pennsylvania Ave, Attn: Facility Ceo, Ottumwa, IA 52501-2186 | 2013-12-31 |
| 1649523580 | Mercy Iowa City | Psychiatric Unit | 500 E Market St, Psychiatry 4 North, Iowa City, IA 52245-2633 | 2012-10-16 |
| 1275803470 | Tms of Iowa, LLC | Psychiatric Unit | 2500 82nd Pl, Urbandale, IA 50322-4329 | 2012-01-04 |
| 1710276183 | Genesis Health System | Psychiatric Unit | 1401 W Central Park Ave, Davenport, IA 52804-1707 | 2011-04-06 |
| 1437384799 | Alegent Health Bergan Mercy Health System | Psychiatric Unit | 800 Mercy Dr, Council Bluffs, IA 51503-3128 | 2009-05-15 |
| 1821127572 | Mercy Medical Center - Clinton, Inc. | Psychiatric Unit | 1410 N 4th St, Clinton, IA 52732-2940 | 2007-03-05 |
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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.