Floyd Valley Hospital
Organization Active NPI Assisted Living Facility · Le Mars, IA
NPI 1013079102 · NPPES record last updated Aug 22, 2020
Key facts
- NPI
- 1013079102
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Assisted Living Facility 310400000X
- License
- S0021 (IA)
- Legal business name
- FLOYD VALLEY HOSPITAL
- Practice address
- 900 Lincoln St NE
Le Mars, IA 51031-3345 - Phone
- (712) 546-3398
- Fax
- (712) 546-3352
- NPI assigned
- Dec 14, 2006
- Organization subpart
- No
Authorized official
- Name
- Mr. Daryl J Friedenbach
- Title
- Director of Fiscal Services
- Phone
- (712) 546-3338
Other NPIs on the same Medicare enrollment 8
Corporate family (same tax ID) 7
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in IA
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20040129001169 | IA | Part B Supplier - Clinic/Group Practice | 2769385475 |
Receives reassigned benefits from 51 practitioners 8 other NPIs on this enrollment This NPI is an additional NPI on the enrollment Practice locations: Le Mars, IA; Marcus, IA; Remsen, IA; Sioux Center, IA |
National Provider Directory
- Tax ID family
- Floyd Valley Neurology
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Assisted Living Facility | 310400000X | S0021 | IA | Yes |
Addresses
Primary practice location
900 Lincoln St NE
Le Mars, IA 51031-3345
Mailing address
900 Lincoln St NE
Le Mars, IA 51031-3345
Phone (712) 546-3398
Other names
- Park Place Estates
Other providers in Le Mars, IA
- Floyd Valley Healthcare
- Floyd Valley Healthcare
- Floyd Valley Healthcare
- Floyd Valley Healthcare
- Floyd Valley Healthcare
- Floyd Valley Hospital
- Floyd Valley Hospital
- Foresight Eye Care, PLLC
- Fortitude Mental Health Services L.L.C
- Sarah Fude Huisman
All providers in Le Mars, IA · Assisted Living Facility in Iowa
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Aug 22, 2020. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.