NPIMap

Organization Active NPI

Cass County Memorial Hospital

Doing business as Cass Health Pharmacy

  • Community/Retail Pharmacy
  • Atlantic, IA
National Provider Identifier
1023755097
Registry record updated May 19, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
Legal business name
CASS COUNTY MEMORIAL HOSPITAL
Doing business as
Cass Health Pharmacy
Practice address
1501 E 10TH St Ste 115
Atlantic, IA 50022-1936
Phone
(712) 250-8804
Fax
(712) 243-7518
NPI assigned
May 19, 2022
Last updated
May 19, 2022By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 19, 2022

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

Authorized official

Name
Abbey L Stangl
Title
Cfo
Phone
(712) 243-3250

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Retail Pharmacy 3336C0003X Primary

Addresses

Primary practice location

1501 E 10TH St Ste 115
Atlantic, IA 50022-1936

Mailing address

1501 E 10TH St
Atlantic, IA 50022-1936
Phone (712) 250-8804

Other names 1

  • Cass Health Pharmacy Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IA2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20190430002420 IA DME Supplier - PharmacyDME Supplier - Orthotic Personnel 5294634994 1 other NPI on this enrollment
Practice locations: Atlantic, IA
O20230928001676 IA Part B Supplier - Pharmacy 5294634994 Practice locations: Atlantic, IA

Other NPIs with the same Medicare PAC ID 8

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

Other NPIs on the same Medicare enrollment 1

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

National Provider Directory

National Provider Directory
Tax ID family
Cass Cty Mem Hospital7 organizations share this tax ID, including this one

Other organizations with this tax ID 6

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

Locations

1500 E 10th St
Ste 100
Atlantic, IA 50022
Phone (712) 250-8100

1501 E 10th St
Ste 100
Atlantic, IA 50022
Phone (712) 243-2850

1501 E 10th St
Ste 115
Atlantic, IA 50022
Phone (712) 243-7508

415 Tracy St
Audubon, IA 50025
Phone (712) 563-3456

Ownership & related parties

All facility ownership & control disclosures 3

Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.

FacilityTypeRoleSince
Griswold Medical CenterGriswold, IA, CCN 168525 Rural health clinic Operational/Managerial Control May 25, 2007
Massena Medical CenterMassena, IA, CCN 168524 Rural health clinic Operational/Managerial Control May 25, 2007
Anita Medical CenterAnita, IA, CCN 168526 Rural health clinic Operational/Managerial Control May 25, 2007

Owned or controlled facilities with NPI records 3

Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.

Practitioners & affiliated clinicians

Practitioners 113

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

View all 113

NPI Registry JSON

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

{
    "created_epoch": "1652918400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1652918400000",
    "number": "1023755097",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1501 E 10TH ST",
            "city": "ATLANTIC",
            "state": "IA",
            "postal_code": "500221936",
            "telephone_number": "712-250-8804",
            "fax_number": "712-243-7518"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1501 E 10TH ST STE 115",
            "city": "ATLANTIC",
            "state": "IA",
            "postal_code": "500221936",
            "telephone_number": "712-250-8804",
            "fax_number": "712-243-7518"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CASS COUNTY MEMORIAL HOSPITAL",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-05-19",
        "last_updated": "2022-05-19",
        "certification_date": "2022-05-19",
        "status": "A",
        "authorized_official_last_name": "STANGL",
        "authorized_official_first_name": "ABBEY",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "CFO",
        "authorized_official_telephone_number": "712-243-3250"
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Cass Health Pharmacy",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Atlantic, IA

Sources for this page

Verify at the official NPI Registry.