Active NPI
Story County Hospital
- Long Term Care Hospital
- Nevada, IA
National Provider Identifier
1194923722
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Long Term Care Hospital
- License
- 850174H
- Legal business name
- STORY COUNTY HOSPITAL
- Practice address
- 630 6TH St
Nevada, IA 50201-2266 - Phone
- (515) 382-7149
- Fax
- (515) 382-6617
- NPI assigned
- Jul 5, 2007
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mrs. Jane Ramthun
- Title
- Cfo
- Phone
- (515) 382-2111
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Long Term Care Hospital | 282E00000X | 850174H | IA | Primary |
Addresses
Primary practice location
630 6TH St
Nevada, IA 50201-2266
Mailing address
640 South 19TH Street
Nevada, IA 50201
Phone (515) 382-2111
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0803825 | Medicaid | IA |
Other names 1
- STORY COUNTY MEDICAL CENTER
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in IA
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20040204000957 | IA | Part B Supplier - Clinic/Group Practice | 0547153884 |
Receives reassigned benefits from 39 practitioners 5 other NPIs on this enrollment This NPI is an additional NPI on the enrollment Practice locations: Nevada, IA |
Other NPIs on the same Medicare enrollment 4
NPIs listed together on one Medicare enrollment, typically parts of the same organization.
National Provider Directory
National Provider Directory- Tax ID family
- John Bergseng DO
Other organizations with this tax ID 5
Organizations that report the same tax identification number in the National Provider Directory.
-
- Rural Health Clinic/Center
- Maxwell, IA
- NPI 1316471162
-
- Rural Health Clinic/Center
- Nevada, IA
- NPI 1508390352
-
- Critical Access Hospital
- Nevada, IA
- NPI 1548327364
-
- Medicare Defined Swing Bed Hospital Unit
- Nevada, IA
- NPI 1922335322
-
- Non-Pharmacy Dispensing Site
- Maxwell, IA
- NPI 1932876851
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1183593600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1485388800000",
"number": "1194923722",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "640 SOUTH 19TH STREET",
"city": "NEVADA",
"state": "IA",
"postal_code": "50201",
"telephone_number": "515-382-2111",
"fax_number": "515-382-7760"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "630 6TH ST",
"city": "NEVADA",
"state": "IA",
"postal_code": "502012266",
"telephone_number": "515-382-7149",
"fax_number": "515-382-6617"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "STORY COUNTY HOSPITAL",
"organizational_subpart": "NO",
"enumeration_date": "2007-07-05",
"last_updated": "2017-01-26",
"status": "A",
"authorized_official_last_name": "RAMTHUN",
"authorized_official_first_name": "JANE",
"authorized_official_title_or_position": "CFO",
"authorized_official_telephone_number": "515-382-2111",
"authorized_official_name_prefix": "Mrs."
},
"taxonomies": [
{
"code": "282E00000X",
"taxonomy_group": "",
"desc": "Long Term Care Hospital",
"state": "IA",
"license": "850174H",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "0803825",
"state": "IA"
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "STORY COUNTY MEDICAL CENTER",
"code": "5",
"type": "Other Name"
}
]
}Other providers in Nevada, IA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 26, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.