Hamilton County Public Hospital
Organization Active NPI Emergency Medicine Physician · Webster City, IA
NPI 1083665004 · NPPES record last updated Apr 23, 2021
Key facts
- NPI
- 1083665004
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Emergency Medicine Physician 207P00000X
- Legal business name
- HAMILTON COUNTY PUBLIC HOSPITAL
- Practice address
- 2350 Hospital Drive
Webster City, IA 50595-6600 - Phone
- (515) 832-9400
- NPI assigned
- May 15, 2006
- Organization subpart
- Yes
- Parent organization (as reported)
- HAMILTON COUNTY PUBLIC HOSPITAL
Authorized official
- Name
- Alice Heinrichs, CFO
- Title
- Cfo
- Phone
- (515) 328-7751
Other NPIs on the same Medicare enrollment 7
Corporate family (same tax ID) 12
Practitioners 11
-
Joel A From, M.D.
-
Kelli Holland, ARNP
-
Laura Johnston, CRNA
-
Tiffanie Lapan, DMPNA, CRNA, SRNP
-
Seth W Meyers, CRNA
-
Denise M Sorrentino, M.D.
-
Mark A Tannenbaum, M.D.
-
Tricia Lynn Widlund, A.R.N.P.
-
Kraig M. Holtorf, PA-C
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in IA
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20031216000775 | IA | Part B Supplier - Clinic/Group Practice | 1254241565 |
Receives reassigned benefits from 78 practitioners 7 other NPIs on this enrollment This NPI is an additional NPI on the enrollment Practice locations: Webster City, IA; Stratford, IA; Jewell, IA; Fort Dodge, IA |
National Provider Directory
- Tax ID family
- Hamilton County Public Hospital
- Part of
- Hamilton County Public Hospital
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Emergency Medicine Physician |
207P00000X | Yes |
Addresses
Primary practice location
2350 Hospital Drive
Webster City, IA 50595-6600
Mailing address
PO Box 430
Webster City, IA 50595-0430
Phone (515) 832-9400
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0105155 | Medicaid | IA | |
| 03253 | Other | IA | WELLMARK BLUE CROSS |
Other names
- HCPH ER Physicians
Electronic endpoints
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | himadmin@vdmc.cernerdirect.com | Direct |
Other providers in Webster City, IA
- Jake Ryan Haberman
- Sherry Hall
- Hamilton County Public Hospita
- Hamilton County Public Hospital
- Hamilton County Public Hospital
- Hamilton County Public Hospital
- Hamilton County Public Hospital
- Hamilton County Public Hospital
- Hamilton County Public Hospital
- Hamilton County Public Hospital
All providers in Webster City, 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 23, 2021. 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.