Decatur County Hospital

Primary specialty

AmbulanceTaxonomy code 341600000X

License

270089H Issued in IA

Legal business name

DECATUR COUNTY HOSPITAL

Doing business as

Decatur County Hospital- Ambulance

Practice address

1405 NW Church St
Leon, IA 50144-1267

Phone

(641) 446-4871

NPI assigned

May 16, 2007

Last updated

Mar 9, 2021By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Michael Johnston

Title

Ceo

Phone

(641) 446-4871

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Decatur County Hospital- Ambulance Doing business as

Electronic endpoints 1

Tax ID family

Roger J Blanchard MD3 organizations share this tax ID, including this one

Other organizations with this tax ID 2

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

• County of Decatur

  dba Decatur County Public Health and Home Care

  • Public Health or Welfare Agency
  • Leon, IA
  • NPI 1093793051
  NPD tax ID
• Decatur County Hospital

  • Medicare Defined Swing Bed Hospital Unit
  • Leon, IA
  • NPI 1366525891
  NPD tax ID

Interoperability endpoints

• FHIR API: https://fhir-myrecord.cerner.com/r4/3a35c68f-f24b-40b5-8425-cac7e4d992c3/
• FHIR API: https://fhir-usa.unify.chbase.com/org/decltcu-9c363a22

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

{
    "created_epoch": "1179273600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1615248000000",
    "number": "1043427610",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1405 NW CHURCH ST",
            "city": "LEON",
            "state": "IA",
            "postal_code": "501441266",
            "telephone_number": "641-446-4871"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1405 NW CHURCH ST",
            "city": "LEON",
            "state": "IA",
            "postal_code": "501441267",
            "telephone_number": "641-446-4871"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DECATUR COUNTY HOSPITAL",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-16",
        "last_updated": "2021-03-09",
        "certification_date": "2021-03-09",
        "status": "A",
        "authorized_official_last_name": "JOHNSTON",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "641-446-4871"
    },
    "taxonomies": [
        {
            "code": "341600000X",
            "taxonomy_group": "",
            "desc": "Ambulance",
            "state": "IA",
            "license": "270089H",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0115881",
            "state": "IA"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "dch@dch.cernerdirect.com",
            "affiliation": "N",
            "endpointDescription": "DCH",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "1405 NW Church St",
            "city": "Leon",
            "state": "IA",
            "country_code": "US",
            "postal_code": "501441266",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "organization_name": "Decatur County Hospital- Ambulance",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Decatur County Hospital- Ambulance",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• County of Decatur
• Kacey Denise Courtney
• Dan Heffron PC (daniel j heffron)
• Decatur County Community Services
• Decatur County Community Services
• Decatur County Hospital
• Decatur County Hospital (Decatur County Hospital Professional Fees)
• Decatur County Hospital
• Decatur Medical Services, PC
• Rebecca Devine, DNP, PMHNP-BC

• Ambulance in Leon, IA
• Providers in Leon, IA by specialty
• Ambulance in Iowa

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 9, 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.