SHELBY COUNTY CHRIS A MYRTUE MEMORIAL HOSPITAL (NPI# 1841393493) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1841393493 |
| Entity Type | Organization |
| Organization Name | SHELBY COUNTY CHRIS A MYRTUE MEMORIAL HOSPITAL |
| Other Organization Name | MYRTUE MEDICAL CENTER - AVOCA CLINIC |
| Practice Address |
510 N Elm St Avoca IA 51521-3521 |
| Mailing Address |
1213 Garfield Ave Harlan IA 51537-2057 |
| Practice Telephone | 7123436455 |
| Practice Fax Number | 7123436704 |
| Mailing Telephone | 7127555161 |
| Mailing Fax Number | 7127554412 |
| Enumeration Date | 2006-09-07 |
| Last Update Date | 2010-12-14 |
| Authorized Official Name | MR. BARRY A. JACOBSEN (CEO) |
| Authorized Official Telephone | 7127554315 |
| Is Organization Subpart | Y |
| Parent Organization Name | SHELBY COUNTY CHRIS A MYRTUE MEMORIAL HOSPITAL |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QR1300X |
Clinic/Center Specialization: Rural Health |
Ambulatory Health Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| IA | 0685156 | 05 |
| Other Name | Type Code |
|---|---|
| Myrtue Medical Center - Avoca Clinic | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1396847521 | Shelby County Chris A Myrtue Memorial Hospital | Home Health | 2712 12th St, Harlan, IA 51537-2306 | 2006-09-01 |
| 1316054034 | Shelby County Chris A Myrtue Memorial Hospital | Clinic/Center | 301 East Street, Shelby, IA 51570-3319 | 2006-08-25 |
| 1467569905 | Shelby County Chris A Myrtue Memorial Hospital | Clinic/Center | 4022 Main Street, Elk Horn, IA 51531-2102 | 2006-08-23 |
| 1417342288 | Shelby County Chris A Myrtue Memorial Hospital | Clinic/Center | 100 Industrial Dr, Ste 101, Earling, IA 51530-5213 | 2015-03-30 |
| 1134225048 | Shelby County Chris A Myrtue Memorial Hospital | Hospice Care, Community Based | 2712 12th St, Harlan, IA 51537-2306 | 2006-09-16 |
| 1043316953 | Shelby County Chris A Myrtue Memorial Hospital | Medicare Defined Swing Bed Unit | 1213 Garfield Ave, Harlan, IA 51537-2057 | 2006-09-16 |
| 1992817886 | Shelby County Chris A Myrtue Memorial Hospital | Clinic/Center | 1220 Chatburn Ave, Harlan, IA 51537-2009 | 2006-08-31 |
| 1598871469 | Shelby County Chris A Myrtue Memorial Hospital | General Acute Care Hospital | 1213 Garfield Ave, Harlan, IA 51537-2057 | 2006-08-22 |
| Street Address |
510 N ELM ST |
| City | AVOCA |
| State | IA |
| Zip Code | 51521-3521 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1407972888 | Stephanie Ann Harder | Physical Therapist | 2004 North Willow St., Avoca, IA 51521 | 2007-03-21 |
| 1821145707 | Ahst C.s.d. | Local Education Agency (LEA) | 7685 South Maple Street, Avoca, IA 51521 | 2007-01-04 |
| 1528176617 | Denise A Suedkamp | Physician Assistant | 510 North Elm Street, Avoca, IA 51521 | 2006-08-28 |
| 1427021161 | Avoca Volunteer Fire Dept | Emergency Medical Technician, Intermediate | 212 W Crocker St, Avoca, IA 51521 | 2006-02-13 |
| 1457339210 | Marcia Ann Alff | Chiropractor | 170 S Elm, Avoca, IA 51521-0327 | 2006-01-03 |
| 1780739177 | Karen A. Rodriguez | Counselor | 118 N Elm St, Avoca, IA 51521-0399 | 2007-01-24 |
| 1528128253 | Terry Carley | Pharmacist | 102 N Elm St, Avoca, IA 51521-0698 | 2006-12-11 |
| 1548230006 | Care Initiatives | Skilled Nursing Facility | 610 E York Rd, Avoca, IA 51521-2052 | 2006-01-25 |
| 1568919504 | Kristin Parker | Physical Therapy Assistant | 610 E York Rd, Avoca, IA 51521-2052 | 2016-09-07 |
| 1942668371 | Kathryn Jo Denning | Skilled Nursing Facility | 110 N Maple St, Avoca, IA 51521-3211 | 2016-01-30 |
| Find all providers in zip 51521 | ||||
| Taxonomy Code | 261QR1300X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Rural Health |
| Definition to come... |
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|---|---|---|---|---|
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| 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 | ||||
Please comment or provide details below to improve the information on SHELBY COUNTY CHRIS A MYRTUE MEMORIAL HOSPITAL.
| 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.