NPIMap

Organization Active NPI

Palo Alto County Hospital

Doing business as Palo Alto County Hospital ER Physicians

  • Emergency Medicine Physician
  • Emmetsburg, IA
National Provider Identifier
1184634602
Registry record updated Dec 3, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Emergency Medicine PhysicianTaxonomy code 207P00000X
License
740045H Issued in IA
Legal business name
PALO ALTO COUNTY HOSPITAL
Doing business as
Palo Alto County Hospital ER Physicians
Practice address
3201 1St St
Emmetsburg, IA 50536-2516
Phone
(712) 852-5500
Fax
(712) 852-5477
NPI assigned
Aug 8, 2006
Last updated
Dec 3, 2020By the provider in NPPES
Organization subpart
Yes
Parent organization
PALO ALTO COUNTY HOSPITALAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Dec 3, 2020

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

Authorized official

Name
Desiree A Einsweiler
Title
Administrator/Ceo
Phone
(712) 852-5401

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Emergency Medicine Physician 207P00000X 740045H IA Primary

Addresses

Primary practice location

3201 1St St
Emmetsburg, IA 50536-2516

Mailing address

3201 1St St
Emmetsburg, IA 50536-2516
Phone (712) 852-5500

Other identifiers 3

IdentifierTypeStateIssuer
CH0504OtherIAMC RR ER DOC GROUP #
0199877MedicaidIA
08704OtherIABC ER PHYSICIAN GROUP #

Other names 1

  • Palo Alto County Hospital ER Physicians Doing business as

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address HIM@pamhn.cernerdirect.com Direct

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20040129001137 IA Part B Supplier - Clinic/Group Practice 4486563061 Receives reassigned benefits from 23 practitioners
3 other NPIs on this enrollment
Practice locations: Graettinger, IA; West Bend, IA; Emmetsburg, IA

Other NPIs with the same Medicare PAC ID 7

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

Other NPIs on the same Medicare enrollment 3

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

National Provider Directory

National Provider Directory
Part of
Palo Alto County Hospit

Ownership & related parties

All facility ownership & control disclosures 5

Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.

FacilityTypeRoleSince
Palo Alto County HospitalEmmetsburg, IA, CCN 161357 Hospital Operational/Managerial Control Jan 2, 2013
Palo Alto County HospitalEmmetsburg, IA, CCN 16Z357 Hospital Operational/Managerial Control Jan 2, 2008
Palo Alto Community Health ServicesEmmetsburg, IA, CCN 167049 Home health agency Operational/Managerial Control Jan 10, 2012
Hospice of Palo Alto CountyEmmetsburg, IA, CCN 161530 Hospice Operational/Managerial Control Sep 9, 1993
Family Practice Clinic West BendWest Bend, IA, CCN 163417 Rural health clinic Operational/Managerial Control Sep 12, 1994

Owned or controlled facilities with NPI records 5

Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.

Practitioners & affiliated clinicians

Practitioners 30

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

View all 30

NPI Registry JSON

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

{
    "created_epoch": "1154995200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1606953600000",
    "number": "1184634602",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3201 1ST ST",
            "city": "EMMETSBURG",
            "state": "IA",
            "postal_code": "505362516",
            "telephone_number": "712-852-5500",
            "fax_number": "712-852-5477"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3201 1ST ST",
            "city": "EMMETSBURG",
            "state": "IA",
            "postal_code": "505362516",
            "telephone_number": "712-852-5500",
            "fax_number": "712-852-5477"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PALO ALTO COUNTY HOSPITAL",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "PALO ALTO COUNTY HOSPITAL",
        "enumeration_date": "2006-08-08",
        "last_updated": "2020-12-03",
        "certification_date": "2020-12-03",
        "status": "A",
        "authorized_official_last_name": "EINSWEILER",
        "authorized_official_first_name": "DESIREE",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "ADMINISTRATOR/CEO",
        "authorized_official_telephone_number": "712-852-5401"
    },
    "taxonomies": [
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "IA",
            "license": "740045H",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MC RR ER DOC GROUP #",
            "identifier": "CH0504",
            "state": "IA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0199877",
            "state": "IA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BC ER PHYSICIAN GROUP #",
            "identifier": "08704",
            "state": "IA"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "HIM@pamhn.cernerdirect.com",
            "affiliation": "N",
            "endpointDescription": "PACHS Direct Email",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "CCDA",
            "address_1": "3201 1st St",
            "city": "Emmetsburg",
            "state": "IA",
            "country_code": "US",
            "postal_code": "505362516",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "organization_name": "Palo Alto County Hospital ER Physicians",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Palo Alto County Hospital ER Physicians",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Emmetsburg, IA

Sources for this page

Verify at the official NPI Registry.