NPIMap

Organization Active NPI

Story County Hospital

  • Long Term Care Hospital
  • Nevada, IA
National Provider Identifier
1194923722
Registry record updated Jan 26, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Long Term Care HospitalTaxonomy code 282E00000X
License
850174H Issued in IA
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
Last updated
Jan 26, 2017By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 26, 2017

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)CodeLicenseStatePrimary
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 names 1

  • STORY COUNTY MEDICAL CENTER Other name

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
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

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1194923722. Details of each certification follow.

Hospital certification: CCN 160088

Name & address match This certification has no NPI in the Medicare enrollment files. CMS publishes enrollment files for six facility types only, so it was connected to this NPI by matching the name and address CMS publishes for it.

Legal name
STORY COUNTY HOSPITAL
Certification status
Terminated Other: provider status change, Nov 30, 2001
Provider type (POS)
Hospital – Short-term
Participating since
Jul 1, 1966
Last certification
Sep 1, 1999
Beds
122 (42 certified)
Ownership / control type
Local
Facility address
630 Sixth Street
Nevada, IA 50201

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
Spectrum Emergency Care6 organizations share this tax ID, including this one

Other organizations with this tax ID 5

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": "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": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "STORY COUNTY MEDICAL CENTER",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Nevada, IA

Sources for this page

Verify at the official NPI Registry.