HUMBOLDT COUNTY MEMORIAL HOSPITAL (NPI# 1912089848) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1912089848 |
| Entity Type | Organization |
| Organization Name | HUMBOLDT COUNTY MEMORIAL HOSPITAL |
| Practice Address |
1000 15th St N Humboldt IA 50548-1008 |
| Practice Telephone | 5153324200 |
| Practice Fax Number | 5153324820 |
| Mailing Telephone | 5153324200 |
| Mailing Fax Number | 5153324820 |
| Enumeration Date | 2006-10-19 |
| Last Update Date | 2014-07-02 |
| Authorized Official Name | MS. HEATHER L. SHAULL (CFO) |
| Authorized Official Telephone | 5153324200 |
| Is Organization Subpart | Y |
| Parent Organization Name | HUMBOLDT COUNTY MEMORIAL HOSPITAL |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 313M00000X | Nursing Facility/Intermediate Care Facility | 460155H | IA | Nursing & Custodial Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| IA | 0807297 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1255930178 | Humboldt County Memorial Hospital | Clinic/Center | 1000 15th St N Ste C, Humboldt, IA 50548-1008 | 2020-10-21 |
| 1659359867 | Humboldt County Memorial Hospital | Public Health or Welfare | 1012 15th St N, Humboldt, IA 50548-1008 | 2006-01-06 |
| 1194702977 | Humboldt County Memorial Hospital | General Acute Care Hospital | 1000 15th St N, Humboldt, IA 50548-1008 | 2005-12-22 |
| 1255972477 | Humboldt County Memorial Hospital | Registered Nurse | 1000 15th St N, Humboldt, IA 50548-1008 | 2019-09-30 |
| 1255407268 | Humboldt County Memorial Hospital | Hospice Care, Community Based | 1012 15th St N, Humboldt, IA 50548-1008 | 2006-11-28 |
| 1043395247 | Humboldt County Memorial Hospital | Counselor | 1000 15th St N, Humboldt, IA 50548-1008 | 2006-10-26 |
| 1235214420 | Humboldt County Memorial Hospital | General Acute Care Hospital | 1000 15th St N, Humboldt, IA 50548-1008 | 2006-10-26 |
| 1821170754 | Humboldt County Memorial Hospital | Ambulance | 1000 15th St N, Humboldt, IA 50548-1008 | 2006-10-19 |
| Street Address |
1000 15TH ST N |
| City | HUMBOLDT |
| State | IA |
| Zip Code | 50548-1008 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1194702977 | Humboldt County Memorial Hospital | General Acute Care Hospital | 1000 15th St N, Humboldt, IA 50548-1008 | 2005-12-22 |
| 1255972477 | Humboldt County Memorial Hospital | Registered Nurse | 1000 15th St N, Humboldt, IA 50548-1008 | 2019-09-30 |
| 1265073480 | Jennifer A Dewinter | Registered Nurse | 1000 15th St N, Humboldt, IA 50548-1008 | 2019-09-30 |
| 1700309010 | Michelle Hankins | Counselor | 1000 15th St N, Humboldt, IA 50548-1008 | 2017-07-18 |
| 1689082976 | Morgan Lyons | Nurse Practitioner | 1000 15th St N, Humboldt, IA 50548-1008 | 2014-07-30 |
| 1346685443 | Amanda J Thul | Dietitian, Registered | 1000 15th St N, Humboldt, IA 50548-1008 | 2013-05-02 |
| 1902140817 | Larry James Hall | Pharmacist | 1000 15th St N, Humboldt, IA 50548-1008 | 2012-11-15 |
| 1619253051 | North Central Iowa Mental Health Center, Inc | Clinic/Center | 1000 15th St N, Humboldt, IA 50548-1008 | 2011-10-31 |
| 1619014008 | North Central Iowa Mental Health Center, Inc | Clinic/Center | 1000 15th St N, Humboldt, IA 50548-1008 | 2007-02-01 |
| 1043395247 | Humboldt County Memorial Hospital | Counselor | 1000 15th St N, Humboldt, IA 50548-1008 | 2006-10-26 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1255823969 | Shanna Renae Studer | Optometrist | 10 Taft St. S, Humboldt, IA 50548 | 2018-05-30 |
| 1093028045 | Cody Gene Olson | Dentist | 1101 13th St. N, Suite 1, North Park Family Dentistry, Humboldt, IA 50548 | 2010-07-20 |
| 1295055648 | Pain Be-gone Anesthesia Services Inc | Clinic/Center | 1001 12th St N, Humboldt, IA 50548 | 2010-06-08 |
| 1366654543 | 1st Avenue Chiropractic, P.C. | Clinic/Center | 611 1 St Ave Chiropractic, Humboldt, IA 50548 | 2007-05-03 |
| 1346272705 | Harvey Evans PC | Dentist | 1014 15th St N, Humboldt, IA 50548 | 2006-07-07 |
| 1255930178 | Humboldt County Memorial Hospital | Clinic/Center | 1000 15th St N Ste C, Humboldt, IA 50548-1008 | 2020-10-21 |
| 1881112522 | Trinity Regional Medical Center | Clinic/Center | 1000 15th St N Ste A, Humboldt, IA 50548-1008 | 2017-09-01 |
| 1659359867 | Humboldt County Memorial Hospital | Public Health or Welfare | 1012 15th St N, Humboldt, IA 50548-1008 | 2006-01-06 |
| 1629069786 | David Ruzicka | Emergency Medicine | 1010 15th St N, Humboldt, IA 50548-1008 | 2005-10-28 |
| 1326525643 | Brittney J Peters | Family Medicine | 1010 15th St N, Humboldt, IA 50548-1008 | 2018-07-20 |
| Find all providers in zip 50548 | ||||
| Taxonomy Code | 313M00000X |
| Grouping | Nursing & Custodial Care Facilities |
| Classification | Nursing Facility/Intermediate Care Facility |
| An institution (or a distinct part of an institution) which- (1) is primarily engaged in providing to residents- (A) skilled nursing care and related services for residents who require medical or nursing care, (B) rehabilitation services for the rehabilitation of injured, disabled, or sick persons, or, on a regular basis, health-related care and services to individuals who because of their mental or physical condition require care and services (above the level of room and board) which can be made available to them only through institutional facilities, and is not primarily for the care and treatment of mental diseases; (2) has in effect a transfer agreement with one or more hospitals. |
| Notes: Source: Paraphrased from Section 1919 (a) of the Social Security Act. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1043275639 | Humboldt Healthcare and Rehab Center Inc | Nursing Facility/Intermediate Care Facility | 2031 Avondale St, Humboldt, TN 38343 | 2006-04-18 |
| 1093708943 | Tennessee State Veterans Home Board | Nursing Facility/Intermediate Care Facility | 2865 E Main St, Humboldt, TN 38343-3070 | 2005-08-25 |
| 1932310984 | Humboldt Workshop, Inc. | Nursing Facility/Intermediate Care Facility | 21 Taft St N, Humboldt, IA 50548-1768 | 2007-05-24 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1699389346 | Perry Lutheran Home - Rowley Campus LLC | Nursing Facility/Intermediate Care Facility | 1300 28th St, Perry, IA 50220-2329 | 2020-09-01 |
| 1225546948 | Creekside, Inc | Nursing Facility/Intermediate Care Facility | 503 Wical Way, Grundy Center, IA 50638-0000 | 2018-01-16 |
| 1679920946 | Roy Gonzalez | Nursing Facility/Intermediate Care Facility | 40 Ridgeview Rd, Sioux City, IA 51104-4052 | 2016-05-17 |
| 1609241926 | Monica Wincentsen | Nursing Facility/Intermediate Care Facility | 122 Euclid Ave, Norway, IA 52318 | 2015-12-11 |
| 1003246000 | Keystone Nursing Care Center, Inc | Nursing Facility/Intermediate Care Facility | 280 5th St, Suite 2, Keystone, IA 52249-9533 | 2013-11-13 |
| 1346434826 | Shenandoah Enterprises LLC | Nursing Facility/Intermediate Care Facility | 1201 S Walnut St, Shenandoah, IA 51601-2176 | 2007-08-28 |
| 1952528424 | S.t.l. Care Company | Nursing Facility/Intermediate Care Facility | 1220 5th Ave Se, Cedar Rapids, IA 52403-4049 | 2007-04-19 |
| 1568686236 | Martin Health Center, Inc. | Nursing Facility/Intermediate Care Facility | 420 E 11th St, Cedar Falls, IA 50613-3364 | 2007-04-12 |
| 1548386675 | Longhouse-northshire, Ltd | Nursing Facility/Intermediate Care Facility | 711 W 11th St, Spencer, IA 51301-3237 | 2007-03-21 |
| 1083738132 | Spurgeon Manor, Inc. | Nursing Facility/Intermediate Care Facility | 1204 Linden St, Dallas Center, IA 50063-1052 | 2007-03-16 |
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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.