BOONE COUNTY HOSPITAL (NPI# 1972509479) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1972509479 |
Entity Type | Organization |
Organization Name | BOONE COUNTY HOSPITAL |
Other Organization Name | HOME CARE SERVICES OF BOONE COUNTY HOSPITAL |
Practice Address |
105 S Marshall St Boone IA 50036-4899 |
Practice Telephone | 5154321127 |
Practice Fax Number | 5154320706 |
Mailing Telephone | 5154321127 |
Mailing Fax Number | 5154320706 |
Enumeration Date | 2005-06-21 |
Last Update Date | 2019-02-19 |
Authorized Official Name | JOSEPH S SMITH (CEO) |
Authorized Official Telephone | 5154338480 |
Is Organization Subpart | Y |
Parent Organization Name | BOONE COUNTY HOSPITAL |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 251E00000X | Home Health | ========= | IA | Agencies |
State | Issuer | Identifier | Type Code |
---|---|---|---|
IA | 0670349 | 05 | |
IA | IOWA HEALTH SOLUTIONS PRO | 25749 | 01 |
IA | 0062307 | 05 | |
IA | BLUE CROSS PROVIDER NUMBE | 67034 | 01 |
IA | BLACK LUNG PROVIDER NUMBE | 708282 | 01 |
Other Name | Type Code |
---|---|
Home Care Services of Boone County Hospital | Doing Business As Name - Organization |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1952847410 | Boone County Hospital | Physical Therapist | 317 W Walnut St, Ogden, IA 50212-3048 | 2017-01-09 |
1942664602 | Boone County Hospital | Clinic/Center | 120 S Story St, Boone, IA 50036-4739 | 2016-04-08 |
1578924320 | Boone County Hospital | Clinic/Center | 1015 Union St, Boone, IA 50036-4821 | 2016-03-08 |
1730503319 | Boone County Hospital | Clinic/Center | 320 W Walnut St, Ogden, IA 50212-0820 | 2014-02-18 |
1427259696 | Boone County Hospital | Orthopaedic Surgery | 1015 Union St, Suite 119, Boone, IA 50036-4821 | 2007-05-29 |
1619017282 | Boone County Hospital | Registered Nurse | 1015 Union St, Boone, IA 50036-4821 | 2007-02-06 |
1942385679 | Boone County Hospital | Emergency Medical Technician, Intermediate | 1015 Union St, Boone, IA 50036-4821 | 2006-10-25 |
1649360892 | Boone County Hospital | Skilled Nursing Facility | 1015 Union St, Boone, IA 50036-4821 | 2006-10-16 |
1861589129 | Boone County Hospital | Medicare Defined Swing Bed Unit | 1015 Union St, Boone, IA 50036-4821 | 2006-10-06 |
1467434225 | Boone County Hospital | General Acute Care Hospital | 1015 Union St, Boone, IA 50036-4821 | 2005-11-17 |
Entity Type | Entity Name | Entity Address |
---|---|---|
System for Award Management (SAM) Entities | BOONE COUNTY HOSPITAL | 1015 Union St, Boone, IA 50036-4821 |
Iowa Business Entities | BOONE COUNTY HOSPITAL FOUNDATION | 1015 Union Street, Boone, IA 50036 |
System for Award Management (SAM) Entities | BOONE COUNTY HOSPITAL FOUNDATION | 1015 Union St, Boone, IA 50036-4821 |
Street Address |
105 S MARSHALL ST |
City | BOONE |
State | IA |
Zip Code | 50036-4899 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1336651363 | Mary Jo Koch | Counselor | 105 S Marshall St, Boone, IA 50036-4899 | 2017-10-31 |
1972895969 | Brandon Mitchell Jerred | Marriage & Family Therapist | 105 S Marshall St, Boone, IA 50036-4899 | 2011-05-09 |
1205082815 | Mary E Mix | Counselor | 105 S Marshall St, Boone, IA 50036-4899 | 2008-08-14 |
1225296148 | Karen Anne Myers | Counselor | 105 S Marshall St, Boone, IA 50036-4899 | 2008-05-28 |
1518125426 | Abigail Jane Doerder | Counselor | 105 S Marshall St, Boone, IA 50036-4899 | 2008-05-28 |
1083871123 | Stephanie Noel Murray | Counselor | 105 S Marshall St, Boone, IA 50036-4899 | 2008-05-16 |
1396912457 | Andrea Lee Olson | Counselor | 105 S Marshall St, Boone, IA 50036-4899 | 2008-05-08 |
1376730440 | Panisilvam Santiago | Marriage & Family Therapist | 105 S Marshall St, Boone, IA 50036-4899 | 2007-10-02 |
1912116146 | Jean Marie Lorentzen | Internal Medicine | 105 S Marshall St, Suite D, Boone, IA 50036-4899 | 2007-05-22 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1235639287 | Danielle A'lyce Bennett | Counselor | 1332 S Marshall St, Boone, IA 50036 | 2018-02-16 |
1588170567 | Melissa Joan Bartlett | Audiologist | 428 Story St, Boone, IA 50036 | 2017-12-28 |
1144544560 | Katherine M Dinges | Counselor | 806 7th St Unit U2, Boone, IA 50036 | 2010-03-15 |
1437338936 | Matthew John Sprecher | Chiropractor | 814 7th St, Boone, IA 50036 | 2007-10-31 |
1275662751 | Chris A Gage | Pharmacist | 310 Story Str, Boone, IA 50036 | 2007-03-02 |
1508919416 | Rxpert Inc | Pharmacy | 102 S Story St, Boone, IA 50036 | 2007-01-22 |
1376609677 | United Community School District | Local Education Agency (LEA) | 1284 U Avenue, Boone, IA 50036 | 2006-12-29 |
1245204692 | Renee Lynn Montag | Chiropractor | 806 7th St, Boone, IA 50036 | 2006-02-14 |
1225007594 | William L Martin Jr. | Psychologist | 1015 Union St, Boone, IA 50036 | 2006-03-17 |
1316911761 | Raphael Martin Montag | Chiropractor | 806 7th St, Boone, IA 50036 | 2006-02-14 |
Find all providers in zip 50036 |
Taxonomy Code | 251E00000X |
Grouping | Agencies |
Classification | Home Health |
A public agency or private organization, or a subdivision of such an agency or organization, that is primarily engaged in providing skilled nursing services and other therapeutic services, such as physical therapy, speech-language pathology services, or occupational therapy, medical social services, and home health aide services. It has policies established by a professional group associated with the agency or organization (including at least one physician and one registered nurse) to govern the services and provides for supervision of such services by a physician or a registered nurse; maintains clinical records on all patients; is licensed in accordance with State or local law or is approved by the State or local licensing agency as meeting the licensing standards, where applicable; and meets other conditions found by the Secretary of Health and Human Services to be necessary for health and safety. |
Notes: Source: CFR42 Chapter IV Part 484, http://www.access.gpo.gov/nara/cfr/waisidx_99/42cfr484_99.html [7/1/2007: definition added, source added] |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1720329246 | Medical Services of America, Inc. | Home Health | 400 Shadowline Dr Ste 101, Boone, NC 28607-4960 | 2013-03-07 |
1588660492 | Watauga Medical Center, Inc. | Home Health | 155 Furman Rd, Suite 201, Boone, NC 28607-5049 | 2005-06-24 |
1942497953 | Watauga Medical Center, Inc. | Home Health | 155 Furman Rd, Suite 201, Boone, NC 28607-5049 | 2007-10-03 |
1396932307 | Watauga Medical Center, Inc. | Home Health | 155 Furman Rd, Suite 201, Boone, NC 28607-5049 | 2007-10-03 |
1588851596 | Watauga Medical Center, Inc. | Home Health | 155 Furman Rd, Suite 201, Boone, NC 28607-5049 | 2007-10-03 |
1750414264 | Watauga County Project On Aging | Home Health | 132 Poplar Grove Connector, Suite A, Boone, NC 28607-5915 | 2007-03-13 |
1982602538 | High Country Health Care System | Home Health | 400 Shadowline Dr, Suite 100 B, Boone, NC 28607-5089 | 2005-07-08 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1033717988 | Denice Kay Pearson-libby | Home Health | 101 S Cherry St Ste 102, Mt Pleasant, IA 52641-1964 | 2020-10-13 |
1669086302 | Francis E Wehrle | Home Health | 1314 Jersey Ln, Waterloo, IA 50701-9275 | 2020-09-01 |
1649893124 | Sara Miller | Home Health | 1501 Baldwin St, Harlan, IA 51537-1539 | 2020-05-19 |
1699397166 | At Home With The Westernhome Inc | Home Health | 5307 Caraway Ln, Cedar Falls, IA 50613-8172 | 2020-05-07 |
1306484837 | Lcs Community Employment II LLC | Home Health | 400 Locust St Ste 820, Des Moines, IA 50309-2334 | 2019-12-16 |
1215581673 | Loving Arms Home Care | Home Health | 1638 Burr Dr, North Liberty, IA 52317-4819 | 2019-07-24 |
1982257481 | Iowa Family Assistants | Home Health | 8555 Harbach Blvd Ste 301, Clive, IA 50325-1037 | 2019-07-23 |
1972060705 | Servant Home Care LLC Dba Senior Helpers | Home Health | 2951 86th St, Urbandale, IA 50322-4201 | 2019-02-28 |
1598221970 | Belinda Denise Carter-williams | Home Health | 1241 Gateway Ave, Apt 5, Clinton, IA 52732-3546 | 2019-02-11 |
1053883660 | Iowa Family Home Health Care LLC | Home Health | 336 E Payton Ave, Des Moines, IA 50315-5854 | 2018-12-20 |
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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.