Humboldt County Memorial Hospital
Organization Active NPI Emergency Medicine Physician · Humboldt, IA
NPI 1043395247 · NPPES record last updated Apr 5, 2019
Key facts
- NPI
- 1043395247
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Emergency Medicine Physician 207P00000X
- Legal business name
- HUMBOLDT COUNTY MEMORIAL HOSPITAL
- Practice address
- 1000 15TH St N
Humboldt, IA 50548-1008 - Phone
- (515) 332-4200
- Fax
- (515) 332-4820
- NPI assigned
- Oct 26, 2006
- Organization subpart
- Yes
- Parent organization (as reported)
- HUMBOLDT COUNTY MEMORIAL HOSPITAL
Authorized official
- Name
- Ms. Michelle Sleiter
- Title
- Ceo
- Phone
- (515) 332-4200
Other NPIs on the same Medicare enrollment 1
Other NPIs with the same Medicare PAC ID 3
Practitioners 53
-
Emily Anderson, LMHC
-
Ryan C Lee, DO
-
Madison Leyk, DPM
-
Carrie Potter, ARNP
-
Jeffrey McKean Swan, P.A.-C
-
Laurie Dobrinich, LCSW
-
Megan R Hopp, NP
-
Kenneth W Adams, D.O.
-
Mackenzie Lynn Carlson, ARNP
-
Amy Faga, ARNP
-
Mark D Hartman, DPM
-
Nicole Richelle Lee, ARNP, FNP, PMHNP-BC
-
Danny Lewis Jr., MD
-
Morgan Lyons, ARNP
-
Erin Alene Peterson, ARNP
-
Dustin R Smith, MD
-
Bethany Jean Woods, ARNP
-
Daniel Ames Olsen, D.O.
-
Benjamin Becker, P.A.
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled (3 enrollments) in IA, IL, OR
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20040310001518 | IA | Part B Supplier - Clinic/Group Practice | 8921997867 |
Receives reassigned benefits from 48 practitioners 1 other NPI on this enrollment Practice locations: Humboldt, IA |
| O20230104001596 | IL | Part B Supplier - Clinic/Group Practice | 8921997867 |
Receives reassigned benefits from 1 practitioner Practice locations: Staunton, IL |
| O20251110002835 | OR | Part B Supplier - Clinic/Group Practice | 8921997867 |
Receives reassigned benefits from 1 practitioner Practice locations: Klamath Falls, OR |
National Provider Directory
- Part of
- Humboldt Hosp ER Phys
Locations
1000 15th St N
Ste B
Humboldt, IA 50548
Phone (515) 332-7555
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Counselor |
101YM0800X | |||
| Emergency Medicine Physician |
207P00000X | Yes | ||
| Family Medicine Physician |
207Q00000X |
Addresses
Primary practice location
1000 15TH St N
Humboldt, IA 50548-1008
Mailing address
1000 15TH St N
Humboldt, IA 50548-1008
Phone (515) 332-4200
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0023713 | Medicaid | IA | |
| 02371 | Other | IA | BLUE CROSS PROF |
Other providers in Humboldt, IA
- Ashley Haugland
- Heart of Play LLC
- Honeycomb Speech & Language PLC
- Humboldt C.S.D.
- Humboldt County Hospital
- Humboldt County Memorial Hospital
- Humboldt County Memorial Hospital
- Humboldt County Memorial Hospital
- Humboldt County Memorial Hospital
- Humboldt County Memorial Hospital
All providers in Humboldt, IA · Emergency Medicine Physician in Iowa
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Apr 5, 2019. 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.