Organization Active NPI

Dubuque County Hospital

  • Skilled Nursing Facility
  • Dubuque, IA
National Provider Identifier
1104756121
Registry record updated May 21, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Skilled Nursing FacilityTaxonomy code 314000000X
Legal business name
DUBUQUE COUNTY HOSPITAL
Practice address
2375 Roosevelt St
Dubuque, IA 52001-1479
Phone
(563) 583-1781
NPI assigned
May 21, 2026
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 21, 2026

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

Authorized official

Name
Danielle Ettema
Title
Administrator
Phone
(563) 583-1781

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Skilled Nursing Facility 314000000X Primary

Addresses

Primary practice location

2375 Roosevelt St
Dubuque, IA 52001-1479

Mailing address

2375 Roosevelt St
Dubuque, IA 52001-1479

Other names 1

  • Sunnycrest Manor Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Dubuque County Hospital2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

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

NPI Registry JSON

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

{
    "created_epoch": "1779321600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1779321600000",
    "number": "1104756121",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2375 ROOSEVELT ST",
            "city": "DUBUQUE",
            "state": "IA",
            "postal_code": "520011479"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2375 ROOSEVELT ST",
            "city": "DUBUQUE",
            "state": "IA",
            "postal_code": "520011479",
            "telephone_number": "563-583-1781"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DUBUQUE COUNTY HOSPITAL",
        "organizational_subpart": "NO",
        "enumeration_date": "2026-05-21",
        "last_updated": "2026-05-21",
        "certification_date": "2026-05-19",
        "status": "A",
        "authorized_official_last_name": "ETTEMA",
        "authorized_official_first_name": "DANIELLE",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "563-583-1781"
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Sunnycrest Manor",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Dubuque, IA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 21, 2026; 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.