BUENA VISTA REGIONAL MEDICAL CENTER (NPI# 1821154220) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1821154220 |
Entity Type | Organization |
Organization Name | BUENA VISTA REGIONAL MEDICAL CENTER |
Practice Address |
620 Northwestern Dr Pod 2 Storm Lake IA 50588-2935 |
Mailing Address |
Po Box 309 Storm Lake IA 50588-0309 |
Practice Telephone | 7127324030 |
Practice Fax Number | 7122131233 |
Mailing Telephone | 7127324030 |
Mailing Fax Number | 7122131233 |
Enumeration Date | 2006-12-29 |
Last Update Date | 2017-02-24 |
Authorized Official Name | MR. STEVEN ROB COLERICK (CEO) |
Authorized Official Telephone | 7122138600 |
Is Organization Subpart | Y |
Parent Organization Name | BUENA VISTA REGIONAL MEDICAL CENTER |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
N | 332B00000X | Durable Medical Equipment & Medical Supplies | Suppliers | ||
N | 333600000X | Pharmacy | 1056 | IA | Suppliers |
N | 3336C0002X |
Pharmacy Specialization: Clinic Pharmacy |
1056 | IA | Suppliers |
Y | 3336C0003X |
Pharmacy Specialization: Community/Retail Pharmacy |
1056 | IA | Suppliers |
State | Issuer | Identifier | Type Code |
---|---|---|---|
IA | 1166108 | 05 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1043269780 | Buena Vista Regional Medical Center | Home Health | 1305 W Milwaukee Ave, Storm Lake, IA 50588-2904 | 2006-05-09 |
1902948292 | Buena Vista Regional Medical Center | Radiology | 1525 W 5th St, Storm Lake, IA 50588-3027 | 2007-02-13 |
1922164227 | Buena Vista Regional Medical Center | Ambulance | 1525 W 5th St, Storm Lake, IA 50588-3027 | 2006-12-29 |
1568528966 | Buena Vista Regional Medical Center | Durable Medical Equipment & Medical Supplies | 1525 W 5th St, Storm Lake, IA 50588-3027 | 2006-12-29 |
1467518860 | Buena Vista Regional Medical Center | Personal Emergency Response Attendant | 1525 W 5th St, Storm Lake, IA 50588-3027 | 2006-12-29 |
1578629879 | Buena Vista Regional Medical Center | Home Infusion | 1525 W 5th St, Storm Lake, IA 50588-3027 | 2006-12-29 |
1164593109 | Buena Vista Regional Medical Center | Emergency Medicine | 1525 W 5th St, Storm Lake, IA 50588-3027 | 2006-11-13 |
1780755728 | Buena Vista Regional Medical Center | Nurse Practitioner | 1525 W 5th St, Storm Lake, IA 50588-3027 | 2006-11-13 |
1952350696 | Buena Vista Regional Medical Center | Hospice Care, Community Based | 1305 W Milwaukee Ave, Storm Lake, IA 50588-2904 | 2006-05-09 |
1316995798 | Buena Vista Regional Medical Center | Psychiatric Unit | 1525 W 5th St, Storm Lake, IA 50588-3027 | 2006-05-05 |
Entity Type | Entity Name | Entity Address |
---|---|---|
System for Award Management (SAM) Entities | BUENA VISTA REGIONAL MEDICAL CENTER | 1525 W 5th St, Storm Lake, IA 50588-3027 |
Street Address |
620 NORTHWESTERN DR POD 2 |
City | STORM LAKE |
State | IA |
Zip Code | 50588-2935 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1396716999 | Paul A Barber | Internal Medicine | 620 Northwestern Dr, Storm Lake, IA 50588-2935 | 2006-01-31 |
1821432691 | Jeffrey Jorgensen | Pharmacist | 620 Northwestern Dr, Storm Lake, IA 50588 | 2013-04-24 |
1467666172 | Dr. John A. Vaubel, P.C. | Ophthalmology | 620 Northwestern Dr, Box 634, Storm Lake, IA 50588-2935 | 2007-05-10 |
1114999463 | Bruce J Vanderkooi | Family Medicine | 620 Northwestern Dr, Storm Lake, IA 50588-2935 | 2006-02-02 |
1467424739 | W Scott Wulfekuhler | Family Medicine | 620 Northwestern Dr, Storm Lake, IA 50588-2935 | 2006-02-02 |
1689646036 | Robert R Grant | Family Medicine | 620 Northwestern Dr, Storm Lake, IA 50588-2935 | 2006-02-01 |
1205808664 | David Crippin | Family Medicine | 620 Northwestern Dr, Storm Lake, IA 50588-2935 | 2006-02-01 |
1588635965 | David R Archer | Family Medicine | 620 Northwestern Dr, Storm Lake, IA 50588-2935 | 2006-02-01 |
1689645160 | Shelly J Buse | Nurse Practitioner | 620 Northwestern Dr, Storm Lake, IA 50588-2935 | 2006-01-31 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1093327173 | Joanne Alvorez | Social Worker | 728 Erie Street, Storm Lake, IA 50588 | 2020-08-19 |
1023481165 | Krauth Anesthesia Services LLC | Nurse Anesthetist, Certified Registered | 1 Colonial Circle, Storm Lake, IA 50588 | 2015-11-12 |
1992129605 | Martin Health Services LLC | Pharmacy | 1229 Lake Ave, Storm Lake, IA 50588 | 2014-02-17 |
1487948824 | John Gary Armstrong | Surgery | 210 East 5th St, Storm Lake, IA 50588 | 2011-06-02 |
1235447871 | New Directions for Mental Health, LLC | Social Worker | 808 Michigan St., Suite A, Storm Lake, IA 50588 | 2010-09-16 |
1659555225 | Hy Vee Inc | Pharmacy | 606 Lake Avenue, Suite A, Storm Lake, IA 50588 | 2007-12-19 |
1134311616 | Madison County Medical Equipment Inc | Durable Medical Equipment & Medical Supplies | 1624 Lake Ave Ste 1, Storm Lake, IA 50588 | 2007-08-17 |
1356402754 | Rex Michael Shearer | Dentist | 217 West 6th, Storm Lake, IA 50588 | 2006-12-12 |
1639242209 | Gregory G Hansen | Dentist | 217 West 6th Street, Storm Lake, IA 50588 | 2006-11-15 |
1174536585 | Rick Alan Martin | Dentist | 720 Tornado Drive, Storm Lake, IA 50588 | 2006-08-15 |
Find all providers in zip 50588 |
Taxonomy Code | 3336C0003X |
Grouping | Suppliers |
Classification | Pharmacy |
Specialization | Community/Retail Pharmacy |
A pharmacy where pharmacists store, prepare, and dispense medicinal preparations and/or prescriptions for a local patient population in accordance with federal and state law; counsel patients and caregivers (sometimes independent of the dispensing process); administer vaccinations; and provide other professional services associated with pharmaceutical care such as health screenings, consultative services with other health care providers, collaborative practice, disease state management, and education classes. |
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 |
---|---|---|---|---|
1659555225 | Hy Vee Inc | Pharmacy | 606 Lake Avenue, Suite A, Storm Lake, IA 50588 | 2007-12-19 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1013546308 | Hy Vee Inc | Pharmacy | 911 S K Ave, Vinton, IA 52349-1073 | 2020-04-07 |
1164050944 | Corridor Pharmacy | Pharmacy | 650 W Cherry St Ste 7, North Liberty, IA 52317-9025 | 2020-03-29 |
1932740024 | St Luke's Jones Regional Medical Center | Pharmacy | 1795 Highway 64 E Ste 2, Anamosa, IA 52205-2112 | 2019-10-01 |
1316407018 | Harlan Pharmacy, LLC | Pharmacy | 1024 5th St, Harlan, IA 51537-1427 | 2019-03-20 |
1306304027 | State University of Iowa | Pharmacy | 1360 N Dodge St Ste 1100, Iowa City, IA 52245-6104 | 2019-03-12 |
1265999387 | Bancroft Apothecary Lp | Pharmacy | 106 W Ramsey St, Bancroft, IA 50517-8078 | 2019-02-25 |
1023588159 | Mark Oleson | Pharmacy | 1100 Broad Street, Adair, IA 50002 | 2018-12-02 |
1598235723 | Cjk Pharmacy, LLC | Pharmacy | 3100 E Ave Nw Ste 102, Cedar Rapids, IA 52405-2962 | 2018-11-30 |
1144701582 | Madsen Inc | Pharmacy | 307 2nd. St., Gladbrook, IA 50635-5063 | 2018-08-23 |
1376024869 | Hy Vee Inc | Pharmacy | 3285 Crosspark Road, Coralville, IA 52241 | 2018-08-23 |
Find all providers with the same taxonomy |
City | STORM LAKE |
Zip Code | 50588 |
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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.