Ida County Iowa Community Hospital

Primary specialty

Home Health AgencyTaxonomy code 251E00000X

License

470061H Issued in IA

Legal business name

IDA COUNTY IOWA COMMUNITY HOSPITAL

Practice address

700 E 2ND St
Ida Grove, IA 51445-1601

Phone

(712) 364-3311

NPI assigned

Jan 17, 2007

Organization subpart

No

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

Authorized official

Name

Joni G Schumann

Title

Cfo

Phone

(712) 364-3311

Specialties & licenses 1

Addresses

Other identifiers 2

Other names 1

• Horn Memorial Hospital Home Health Agency Doing business as

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

{
    "created_epoch": "1168992000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1615852800000",
    "number": "1003968256",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "700 E 2ND ST",
            "city": "IDA GROVE",
            "state": "IA",
            "postal_code": "514451601",
            "telephone_number": "712-364-3311"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "700 E 2ND ST",
            "city": "IDA GROVE",
            "state": "IA",
            "postal_code": "514451601",
            "telephone_number": "712-364-3311"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "IDA COUNTY IOWA COMMUNITY HOSPITAL",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-17",
        "last_updated": "2021-03-16",
        "certification_date": "2021-03-16",
        "status": "A",
        "authorized_official_last_name": "SCHUMANN",
        "authorized_official_first_name": "JONI",
        "authorized_official_middle_name": "G",
        "authorized_official_title_or_position": "CFO",
        "authorized_official_telephone_number": "712-364-3311"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "IA",
            "license": "470061H",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0671651",
            "state": "IA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS HOME HEALTH",
            "identifier": "67165",
            "state": "IA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Horn Memorial Hospital Home Health Agency",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Horn Memorial Hospital Home Health Agency",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Wanda D Freese, ARNP
• Brianna Giordano
• Brittany Harms, DPT
• Curtis R Hesse, D.O.
• Joey J Hoefling, ARNP
• Ida County Iowa Community Hospital
• Ida County Iowa Community Hospital
• Ida County Iowa Community Hospital
• Ida County Iowa Community Hospital
• Ida County Iowa Community Hospital

• Home Health Agency in Ida Grove, IA
• Providers in Ida Grove, IA by specialty
• Home Health Agency in Iowa

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 16, 2021; 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.