MITCHELL COUNTY MEMORIAL HOSPITAL (NPI# 1942370614) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1942370614 |
| Entity Type | Organization |
| Organization Name | MITCHELL COUNTY MEMORIAL HOSPITAL |
| Other Organization Name | MITCHELL COUNTY REGIONAL HEALTH CENTER |
| Practice Address |
616 N 8th St Osage IA 50461-1456 |
| Practice Telephone | 6417326000 |
| Practice Fax Number | 6417326025 |
| Mailing Telephone | 6417326000 |
| Mailing Fax Number | 6417326025 |
| Enumeration Date | 2006-11-09 |
| Last Update Date | 2008-06-09 |
| Authorized Official Name | MS. DIANE CONDON (DIR OF PT FINAN & HLTH INFO SERV) |
| Authorized Official Telephone | 6417326074 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207P00000X | Emergency Medicine | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| IA | ER PHYSICIAN BCBS | 00358 | 01 |
| IA | 0066308 | 05 | |
| IA | ER PAC RR MEDICARE | CF9573 | 01 |
| IA | ER PHYSICIAN RR MEDICARE | CI5855 | 01 |
| IA | 767247100 | 05 | |
| IA | ER PHYSICIAN JOHN DEERE | IA0105 | 01 |
| Other Name | Type Code |
|---|---|
| Mitchell County Regional Health Center | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1689766206 | Mitchell County Memorial Hospital | Clinic/Center | 109 Westward Dr # 6, Riceville, IA 50466-7550 | 2006-09-29 |
| 1154487544 | Mitchell County Memorial Hospital | Family Medicine | 620 N 8th St, Osage, IA 50461-1456 | 2006-12-29 |
| 1306902051 | Mitchell County Memorial Hospital | General Acute Care Hospital | 616 N 8th St, Osage, IA 50461-1456 | 2006-12-28 |
| 1407925522 | Mitchell County Memorial Hospital | Nurse Anesthetist, Certified Registered | 616 N 8th St, Osage, IA 50461-1456 | 2006-11-06 |
| 1033291927 | Mitchell County Memorial Hospital | General Acute Care Hospital | 616 N 8th St, Osage, IA 50461-1456 | 2006-10-19 |
| 1518059138 | Mitchell County Memorial Hospital | Clinic/Center | 140 W 4th St, Suite 1, Saint Ansgar, IA 50472-1352 | 2006-09-29 |
| 1588756191 | Mitchell County Memorial Hospital | Clinic/Center | 620 N 8th St, Osage, IA 50461-1456 | 2006-09-29 |
| 1497847016 | Mitchell County Memorial Hospital | Clinic/Center | 411 S Broad St, Stacyville, IA 50476-5003 | 2006-09-29 |
| Street Address |
616 N 8TH ST |
| City | OSAGE |
| State | IA |
| Zip Code | 50461-1456 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1922014026 | Anthony Dean Johnson | Nurse Anesthetist, Certified Registered | 616 N 8th St, Osage, IA 50461-1456 | 2006-07-31 |
| 1467069849 | Astrup Drug Inc | Pharmacy | 616 N 8th St, Osage, IA 50461-1456 | 2020-09-29 |
| 1477092740 | Kylie Leewright | Nurse Practitioner | 616 N 8th St, Osage, IA 50461-1456 | 2017-02-19 |
| 1780090597 | Stephanie Rae Taets | Nurse Practitioner | 616 N 8th St, Osage, IA 50461-1456 | 2014-07-02 |
| 1649598822 | Astrup Drug Inc | Pharmacy | 616 N 8th St, Osage, IA 50461-1456 | 2010-05-12 |
| 1588893911 | Gerdts Podiatric LLC | Podiatrist | 616 N 8th St, Osage, IA 50461-1456 | 2009-07-07 |
| 1407041213 | Chris M Penney | Pharmacist | 616 N 8th St, Osage, IA 50461-1456 | 2007-09-14 |
| 1306902051 | Mitchell County Memorial Hospital | General Acute Care Hospital | 616 N 8th St, Osage, IA 50461-1456 | 2006-12-28 |
| 1851460984 | Mitchell County Regional Health Center | Ambulance | 616 N 8th St, Osage, IA 50461-1456 | 2006-11-06 |
| 1407925522 | Mitchell County Memorial Hospital | Nurse Anesthetist, Certified Registered | 616 N 8th St, Osage, IA 50461-1456 | 2006-11-06 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1003037102 | Paul Curtis Maple | Nurse Anesthetist, Certified Registered | 616 North Eighth Street, Osage, IA 50461 | 2007-05-02 |
| 1245516830 | Lisa Jean Bramer | Social Worker | 619 Main St, Suite B, Osage, IA 50461 | 2011-10-26 |
| 1861663601 | Kyle L. Bobinet, D.d.s. Plc | Dentist | 132 Main Street, Osage, IA 50461 | 2008-03-20 |
| 1356428783 | Kyle Louis Bobinet | Dentist | 132 Main St, Osage, IA 50461-1009 | 2006-11-01 |
| 1790786994 | Aaron Thomas Street | Chiropractor | 139 W Main St, Osage, IA 50461-1012 | 2005-08-10 |
| 1063697225 | Zachary David Muller | Chiropractor | 139 W Main St, Osage, IA 50461-1012 | 2008-01-07 |
| 1013091297 | Street Chiropractic,pc | Chiropractor | 139 W Main St, Osage, IA 50461-1012 | 2006-10-25 |
| 1609877802 | Scott Darwin Nerland | Chiropractor | 139 W Main St, Osage, IA 50461-1012 | 2005-08-10 |
| 1336204288 | Osage Community Schools | Local Education Agency (LEA) | 515 Chase St, Osage, IA 50461-1214 | 2006-12-22 |
| 1316036650 | Jakobson Drug & Hallmark Shop | Pharmacist | 635 Main St, Osage, IA 50461-1307 | 2006-10-12 |
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| Taxonomy Code | 207P00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Emergency Medicine |
| An emergency physician focuses on the immediate decision making and action necessary to prevent death or any further disability both in the pre-hospital setting by directing emergency medical technicians and in the emergency department. The emergency physician provides immediate recognition, evaluation, care, stabilization and disposition of a generally diversified population of adult and pediatric patients in response to acute illness and injury. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: mofified source] - Additional Resources: American Board of Emergency Medicine, 2007. http://www.abem.org/public/; American Osteopathic Board of Emergency Medicine, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Emergency Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Emergency Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1275151003 | Linn County Emergency Medicine PC | Emergency Medicine | 1195 Boyson Rd Ste 101, Hiawatha, IA 52233-2218 | 2020-07-08 |
| 1245795087 | Gabriel Alejandro Hernandez Roman | Emergency Medicine | 200 Hawkins Dr Dept of Emergency Medicine, Iowa Cit, IA 52242-1009 | 2019-02-06 |
| 1821527862 | Ashley Nicole Evans | Emergency Medicine | 420 Community Dr, North Liberty, IA 52317-6706 | 2017-06-04 |
| 1457715047 | Benjamin Rezny | Emergency Medicine | 200 Hawkins Dr Dept of Anesthesia, Iowa City, IA 52242-1009 | 2016-04-08 |
| 1407293236 | Austin Koch | Emergency Medicine | 200 Hawkins Drive, 1008 Rcp, Uihc - Emergency Medicine, Iowa City, IA 52242 | 2013-06-03 |
| 1588900880 | Ottumwa Er LLC | Emergency Medicine | 1001 Pennsylvania Avenue, Ottumwa, IA 52501 | 2012-12-14 |
| 1336403419 | William E Kettelkamp | Emergency Medicine | 2760 E Robins Rd, Marion, IA 52302-9525 | 2012-07-03 |
| 1578827465 | Sandy Kay Clayton | Emergency Medicine | 901 Montgomery St., Medical Staff Services, Decorah, IA 52101-2325 | 2012-06-26 |
| 1821356015 | Brandon Charles Whalen | Emergency Medicine | 200 Hawkins Dr, 1008 Rcp, Iowa City, IA 52242 | 2012-04-25 |
| 1730407545 | Randall Glen Wood | Emergency Medicine | 2720 Stone Park Blvd., Sioux City, IA 51104 | 2010-05-04 |
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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.