Shenandoah Medical Center
Organization Active NPI Community Based Hospice Care Agency · Shenandoah, IA
NPI 1043375504 · NPPES record last updated May 31, 2013
Key facts
- NPI
- 1043375504
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Community Based Hospice Care Agency 251G00000X
- License
- 730065H (IA)
- Legal business name
- SHENANDOAH MEDICAL CENTER
- Practice address
- 300 Park Avenue
Shenandoah, IA 51601-2355 - Phone
- (712) 246-1230
- Fax
- (712) 246-7357
- NPI assigned
- Dec 26, 2006
- Organization subpart
- No
Authorized official
- Name
- Karen Cole
- Title
- Ceo
- Phone
- (712) 246-1230
Member of 1
National Provider Directory
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Community Based Hospice Care Agency | 251G00000X | 730065H | IA | Yes |
Addresses
Primary practice location
300 Park Avenue
Shenandoah, IA 51601-2355
Mailing address
300 Pershing Ave
Shenandoah, IA 51601-2355
Phone (712) 246-1230
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0615732 | Medicaid | IA |
Other names
- SMC HOME HEALTH AND HOSPICE
Other providers in Shenandoah, IA
- Shenandoah Community School District
- Shenandoah Doctors Clinic
- Shenandoah Enterprises LLC
- Shenandoah Family Dentistry, P.C.
- Shenandoah Iowa Assiste Living Facility LLC
- Shenandoah Medical Center
- Shenandoah Medical Center
- Shenandoah Medical Center
- Shenandoah Medical Center
- Shenandoah Medical Center
All providers in Shenandoah, IA · Community Based Hospice Care Agency in Iowa
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on May 31, 2013. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.