SHENANDOAH MEDICAL CENTER (NPI# 1790840239) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1790840239 |
| Entity Type | Organization |
| Organization Name | SHENANDOAH MEDICAL CENTER |
| Other Organization Name | SMC HOME HEALTH AND HOSPICE |
| Practice Address |
300 Park Avenue Shenandoah IA 51601-2355 |
| Mailing Address |
300 Pershing Ave Shenandoah IA 51601-2355 |
| Practice Telephone | 7122467317 |
| Practice Fax Number | 7122467311 |
| Mailing Telephone | 7122461230 |
| Mailing Fax Number | 7122467357 |
| Enumeration Date | 2006-12-26 |
| Last Update Date | 2013-06-14 |
| Authorized Official Name | KAREN COLE (CEO) |
| Authorized Official Telephone | 7122461230 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 251E00000X | Home Health | 730065H | IA | Agencies |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| IA | 0672790 | 05 |
| Other Name | Type Code |
|---|---|
| SMC Home Health and Hospice | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1467841726 | Shenandoah Medical Center | Internal Medicine | 101 E Reed St, Red Oak, IA 51566 | 2015-01-09 |
| 1558766956 | Shenandoah Medical Center | Clinic/Center | 527 Iowa Ave, Essex, IA 51638-8076 | 2014-10-28 |
| 1700941648 | Shenandoah Medical Center | Clinic/Center | 802 Illinois St, Sidney, IA 51652-0217 | 2006-12-22 |
| 1609862887 | Shenandoah Medical Center | Nursing Facility/Intermediate Care Facility | 1203 S Elm St, Shenandoah, IA 51601-2221 | 2005-09-23 |
| 1184621096 | Shenandoah Medical Center | General Acute Care Hospital | 300 Pershing Ave, Shenandoah, IA 51601-2355 | 2005-07-07 |
| 1508487547 | Shenandoah Medical Center | Clinic/Center | 713 Main St, Tabor, IA 51653-2031 | 2020-04-30 |
| 1174908362 | Shenandoah Medical Center | Internal Medicine | 300 Pershing Ave, Shenandoah, IA 51601-2355 | 2015-07-29 |
| 1184021602 | Shenandoah Medical Center | Hospitalist | 300 Pershing Ave, Shenandoah, IA 51601-2355 | 2014-11-26 |
| 1497150825 | Shenandoah Medical Center | Clinic/Center | 802 Illinois St, Sidney, IA 51652-8028 | 2014-10-28 |
| 1184033300 | Shenandoah Medical Center | Nurse Practitioner | 1 Jack Foster Dr, Shenandoah, IA 51601-4586 | 2014-08-13 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| System for Award Management (SAM) Entities | SHENANDOAH MEDICAL CENTER | 300 Pershing Ave, Shenandoah, IA 51601-2355 |
| Iowa Business Entities | SHENANDOAH MEDICAL CENTER | 300 Pershing Ave., Shenandoah, IA 51601 |
| Iowa Business Entities | SHENANDOAH MEDICAL CENTER FOUNDATION | 300 Pershing Ave, Shenandoah, IA 51601 |
| Street Address |
300 PARK AVENUE |
| City | SHENANDOAH |
| State | IA |
| Zip Code | 51601-2355 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1043375504 | Shenandoah Medical Center | Hospice Care, Community Based | 300 Park Avenue, Shenandoah, IA 51601-2355 | 2006-12-26 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1336589969 | Jenifer Ann Deziel | Nurse Practitioner | Shenandoah Medical Center, 300 Pershing Avenue, Shenandoah, IA 51601 | 2013-06-27 |
| 1154621282 | Md West One, PC | Neurological Surgery | 1 Jack Foster Drive, Shenandoah, IA 51601 | 2010-10-22 |
| 1912119124 | Swfac Plc | Podiatrist | 813 Church St., Shenandoah, IA 51601 | 2007-05-03 |
| 1134246895 | David Carroll Dickson | Pedorthist | 612 W. Sheridan Avenue, Shenandoah, IA 51601 | 2007-03-26 |
| 1558433037 | Joseph Patrick Emge | Dentist | 301 Maple St, Suite 3, Shenandoah, IA 51601 | 2006-11-14 |
| 1487766309 | Scott Richard King | Obstetrics & Gynecology | 300 Pershing Avenue, Shenandoah, IA 51601 | 2006-08-31 |
| 1801904933 | Marvin E Belknap | Dentist | 617 West Thomas, Shenandoah, IA 51601 | 2006-08-28 |
| 1083687636 | Charles J Peterson Dc PC | Chiropractor | 1203 W Sheridan Ave, Shenandoah, IA 51601 | 2006-02-13 |
| 1467692152 | Carol A Stehlik | Nutritionist | 300 Pershing Avenue, Shenandoah, IA 51601-0382 | 2009-02-20 |
| 1265526248 | Nishna Productions, Inc. | Community/Behavioral Health | 902 Day St, Shenandoah, IA 51601-1106 | 2006-10-03 |
| Find all providers in zip 51601 | ||||
| Taxonomy Code | 251E00000X |
| Grouping | Agencies |
| Classification | Home Health |
| A public agency or private organization, or a subdivision of such an agency or organization, that is primarily engaged in providing skilled nursing services and other therapeutic services, such as physical therapy, speech-language pathology services, or occupational therapy, medical social services, and home health aide services. It has policies established by a professional group associated with the agency or organization (including at least one physician and one registered nurse) to govern the services and provides for supervision of such services by a physician or a registered nurse; maintains clinical records on all patients; is licensed in accordance with State or local law or is approved by the State or local licensing agency as meeting the licensing standards, where applicable; and meets other conditions found by the Secretary of Health and Human Services to be necessary for health and safety. |
| Notes: Source: CFR42 Chapter IV Part 484, http://www.access.gpo.gov/nara/cfr/waisidx_99/42cfr484_99.html [7/1/2007: definition added, source added] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1033717988 | Denice Kay Pearson-libby | Home Health | 101 S Cherry St Ste 102, Mt Pleasant, IA 52641-1964 | 2020-10-13 |
| 1669086302 | Francis E Wehrle | Home Health | 1314 Jersey Ln, Waterloo, IA 50701-9275 | 2020-09-01 |
| 1649893124 | Sara Miller | Home Health | 1501 Baldwin St, Harlan, IA 51537-1539 | 2020-05-19 |
| 1699397166 | At Home With The Westernhome Inc | Home Health | 5307 Caraway Ln, Cedar Falls, IA 50613-8172 | 2020-05-07 |
| 1306484837 | Lcs Community Employment II LLC | Home Health | 400 Locust St Ste 820, Des Moines, IA 50309-2334 | 2019-12-16 |
| 1215581673 | Loving Arms Home Care | Home Health | 1638 Burr Dr, North Liberty, IA 52317-4819 | 2019-07-24 |
| 1982257481 | Iowa Family Assistants | Home Health | 8555 Harbach Blvd Ste 301, Clive, IA 50325-1037 | 2019-07-23 |
| 1972060705 | Servant Home Care LLC Dba Senior Helpers | Home Health | 2951 86th St, Urbandale, IA 50322-4201 | 2019-02-28 |
| 1598221970 | Belinda Denise Carter-williams | Home Health | 1241 Gateway Ave, Apt 5, Clinton, IA 52732-3546 | 2019-02-11 |
| 1053883660 | Iowa Family Home Health Care LLC | Home Health | 336 E Payton Ave, Des Moines, IA 50315-5854 | 2018-12-20 |
| Find all providers with the same taxonomy | ||||
| City | SHENANDOAH |
| Zip Code | 51601 |
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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.