Organization Active NPI

Grinnell Regional Medical Center

Doing business as Grinnell Regional Hospice

  • Community Based Hospice Care Agency
  • Grinnell, IA
National Provider Identifier
1144289455
Registry record updated Nov 28, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community Based Hospice Care AgencyTaxonomy code 251G00000X
Legal business name
GRINNELL REGIONAL MEDICAL CENTER
Doing business as
Grinnell Regional Hospice
Practice address
306 4TH Ave Ste a
Grinnell, IA 50112-1803
Phone
(641) 236-2418
Fax
(641) 236-2956
NPI assigned
Mar 23, 2006
Last updated
Nov 28, 2017By the provider in NPPES
Organization subpart
Yes
Parent organization
GRINNELL REGIONAL MEDICAL CENTERAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Nov 28, 2017

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

Authorized official

Name
Kyle M Wilcox
Title
Cfo
Phone
(641) 236-2919

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community Based Hospice Care Agency 251G00000X IA Primary

Addresses

Primary practice location

306 4TH Ave Ste a
Grinnell, IA 50112-1803

Mailing address

210 4TH Ave
Grinnell, IA 50112-1898
Phone (641) 236-2300

Other identifiers 2

IdentifierTypeStateIssuer
0615419MedicaidIA
61541OtherIAWELLMARK

Other names 1

  • Grinnell Regional Hospice Doing business as

National Provider Directory

National Provider Directory
Part of
Heslinga D

Member of 1

Organizations this organization is a member of, according to the National Provider Directory.

NPI Registry JSON

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

{
    "created_epoch": "1143072000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1511827200000",
    "number": "1144289455",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "210 4TH AVE",
            "city": "GRINNELL",
            "state": "IA",
            "postal_code": "501121898",
            "telephone_number": "641-236-2300",
            "fax_number": "641-236-2995"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "306 4TH AVE STE A",
            "city": "GRINNELL",
            "state": "IA",
            "postal_code": "501121803",
            "telephone_number": "641-236-2418",
            "fax_number": "641-236-2956"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GRINNELL REGIONAL MEDICAL CENTER",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "GRINNELL REGIONAL MEDICAL CENTER",
        "enumeration_date": "2006-03-23",
        "last_updated": "2017-11-28",
        "status": "A",
        "authorized_official_last_name": "WILCOX",
        "authorized_official_first_name": "KYLE",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "CFO",
        "authorized_official_telephone_number": "641-236-2919"
    },
    "taxonomies": [
        {
            "code": "251G00000X",
            "taxonomy_group": "",
            "desc": "Hospice Care, Community Based",
            "state": "IA",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0615419",
            "state": "IA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "WELLMARK",
            "identifier": "61541",
            "state": "IA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Grinnell Regional Hospice",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Grinnell, IA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 28, 2017; 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.