NPIMap

Organization Active NPI

Virginia Gay Hospital, Inc

  • Emergency Medicine Physician
  • Vinton, IA
National Provider Identifier
1003845553
Registry record updated Sep 29, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Emergency Medicine PhysicianTaxonomy code 207P00000X
Legal business name
VIRGINIA GAY HOSPITAL, INC
Practice address
502 N 9TH Ave
Vinton, IA 52349
Phone
(319) 472-6200
NPI assigned
Jun 30, 2006
Last updated
Sep 29, 2008By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 29, 2008

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Michael J Riege
Title
Administrator
Phone
(319) 472-6200

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Emergency Medicine Physician 207P00000X Primary

Addresses

Primary practice location

502 N 9TH Ave
Vinton, IA 52349

Mailing address

502 N 9TH Ave
Vinton, IA 52349
Phone (319) 472-6200

Other identifiers 3

IdentifierTypeStateIssuer
17543OtherIAWELLMARK
0175430MedicaidIA
175430OtherIAWELLMARK

National Provider Directory

National Provider Directory
Tax ID family
Vinton Family Medical C10 organizations share this tax ID, including this one

Other organizations with this tax ID 9

Organizations that report the same tax identification number in the National Provider Directory.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1151625600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1222646400000",
    "number": "1003845553",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "502 N 9TH AVE",
            "city": "VINTON",
            "state": "IA",
            "postal_code": "52349",
            "telephone_number": "319-472-6200"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "502 N 9TH AVE",
            "city": "VINTON",
            "state": "IA",
            "postal_code": "52349",
            "telephone_number": "319-472-6200"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VIRGINIA GAY HOSPITAL, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-06-30",
        "last_updated": "2008-09-29",
        "status": "A",
        "authorized_official_last_name": "RIEGE",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "319-472-6200"
    },
    "taxonomies": [
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "WELLMARK",
            "identifier": "17543",
            "state": "IA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0175430",
            "state": "IA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "WELLMARK",
            "identifier": "175430",
            "state": "IA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Vinton, IA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 29, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.