AUDUBON COUNTY MEMORIAL HOSPITAL (NPI# 1851690432) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1851690432 |
| Entity Type | Organization |
| Organization Name | AUDUBON COUNTY MEMORIAL HOSPITAL |
| Practice Address |
515 Pacific Ave Suite 2 Audubon IA 50025-1056 |
| Mailing Address |
515 Pacific Ave Audubon IA 50025-1056 |
| Practice Telephone | 7125632611 |
| Practice Fax Number | 7125635298 |
| Mailing Telephone | 7125632611 |
| Mailing Fax Number | 7125635298 |
| Enumeration Date | 2011-03-22 |
| Last Update Date | 2018-02-27 |
| Authorized Official Name | MS. JOAN S FANCHER (CHIEF OPERATING OFFICER) |
| Authorized Official Telephone | 7125632611 |
| Is Organization Subpart | Y |
| Parent Organization Name | AUDUBON COUNTY MEMORIAL HOSPITAL |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QR1300X |
Clinic/Center Specialization: Rural Health |
Ambulatory Health Care Facilities |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1568607661 | Audubon County Memorial Hospital | Clinic/Center | 107 S Jefferson St, Exira, IA 50076-7726 | 2008-12-04 |
| 1184888265 | Audubon County Memorial Hospital | General Practice | 107 S Jefferson St, Exira, IA 50076-7726 | 2008-07-17 |
| 1518931286 | Audubon County Memorial Hospital | Medicare Defined Swing Bed Unit | 515 Pacific Ave, Audubon, IA 50025-1052 | 2006-02-17 |
| 1730153420 | Audubon County Memorial Hospital | Emergency Medicine | 515 Pacific Ave, Audubon, IA 50025-1052 | 2006-02-17 |
| 1710951686 | Audubon County Memorial Hospital | General Acute Care Hospital | 515 Pacific Ave, Audubon, IA 50025-1052 | 2006-02-15 |
| Street Address |
515 PACIFIC AVE SUITE 2 |
| City | AUDUBON |
| State | IA |
| Zip Code | 50025-1056 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1114919818 | Shelley Brinkman Diehl | Physician Assistant | 515 Pacific Ave, Audubon, IA 50025-1056 | 2005-08-18 |
| 1770931412 | Rae Marie Mcdivitt | Nurse Practitioner | 515 Pacific Ave, Audubon, IA 50025-1056 | 2016-06-02 |
| 1013314350 | Valerie Ann Riesberg | Nurse Practitioner | 515 Pacific Ave, Audubon, IA 50025-1056 | 2014-12-02 |
| 1891101457 | Stephanie Vampola-runyan | Family Medicine | 515 Pacific Ave, Audubon, IA 50025-1056 | 2014-07-03 |
| 1942645478 | Christopher F. Stubbs | Family Medicine | 515 Pacific Ave, Suite 2, Audubon, IA 50025-1056 | 2013-05-10 |
| 1265717482 | Northland Hearing Centers, Inc. | Audiologist-Hearing Aid Fitter | 515 Pacific Ave, Audubon, IA 50025-1056 | 2011-10-19 |
| 1437281144 | Cunningham Family Healthcare PC | Family Medicine | 515 Pacific Ave, Suite 2, Audubon, IA 50025-1056 | 2007-03-09 |
| 1366557167 | Jeffrey M Maire | Surgery | 515 Pacific Ave, Audubon, IA 50025-1056 | 2006-08-20 |
| 1316901580 | Carol Klocke | Nurse Practitioner | 515 Pacific Ave, Audubon, IA 50025-1052 | 2006-04-14 |
| 1316900319 | George Smith | Nurse Practitioner | 515 Pacific Ave, Audubon, IA 50025-1052 | 2006-04-10 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1316905888 | Terry L Sprague | Family Medicine | 222 Broadway, Audubon Medical Clinic, Audubon, IA 50025 | 2006-05-03 |
| 1841340270 | James Michael Cunningham | Family Medicine | 515 Pacific Ave Ste 2, Audubon, IA 50025-1056 | 2007-01-10 |
| 1548654189 | Charles Ryan Burkett | Family Medicine | 515 Pacific Ave Ste 2, Audubon, IA 50025-1056 | 2015-03-21 |
| 1679573893 | Patty E. Hildreth | Nurse Practitioner | 222 Broadway St, Audubon, IA 50025-1103 | 2005-07-29 |
| 1770995565 | Vivian D Chance Arnp LLC | Nurse Practitioner | 222 Broadway St, Audubon, IA 50025-1103 | 2014-05-28 |
| 1245281450 | Kimwood, Inc. | Pharmacy | 316 Broadway St, Audubon, IA 50025-1104 | 2006-05-12 |
| 1295231785 | Adam Mikkelsen | Pharmacist | 316 Broadway St, Audubon, IA 50025-1104 | 2018-04-03 |
| 1598172025 | Grx | Pharmacy | 316 Broadway St, Audubon, IA 50025-1104 | 2014-07-16 |
| 1215235080 | Burns Chiropractic | Chiropractor | 308 Broadway St, Audubon, IA 50025-1104 | 2011-03-03 |
| 1114156387 | Justin D Burns | Chiropractor | 308 Broadway St, Audubon, IA 50025-1104 | 2009-07-09 |
| Find all providers in zip 50025 | ||||
| Taxonomy Code | 261QR1300X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Rural Health |
| Definition to come... |
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|---|---|---|---|---|
| 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.