NPIMap

Organization Active NPI

Pocahontas Community Hospital

Doing business as Pocahontas Community Hospital Ambulance

  • Critical Access Hospital
  • Pocahontas, IA
National Provider Identifier
1235247925
Registry record updated Feb 24, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Critical Access HospitalTaxonomy code 282NC0060X
License
760133H Issued in IA
Legal business name
POCAHONTAS COMMUNITY HOSPITAL
Doing business as
Pocahontas Community Hospital Ambulance
Practice address
606 NW 7TH St
Pocahontas, IA 50574-1099
Phone
(712) 335-3501
Fax
(712) 335-4116
NPI assigned
Aug 25, 2006
Last updated
Feb 24, 2010By the provider in NPPES
Organization subpart
Yes
Parent organization
POCAHONTAS COMMUNITY HOSPITALAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Feb 24, 2010

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

Authorized official

Name
Mr. James D. Roetman
Title
Ceo
Phone
(712) 335-3501

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Critical Access Hospital 282NC0060X 760133H IA Primary

Addresses

Primary practice location

606 NW 7TH St
Pocahontas, IA 50574-1099

Mailing address

606 NW 7TH St
Pocahontas, IA 50574-1099
Phone (712) 335-3501

Other identifiers 1

IdentifierTypeStateIssuer
0055509MedicaidIA

Other names 1

  • Pocahontas Community Hospital Ambulance Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Pocahontas Comm Hospital5 organizations share this tax ID, including this one
Part of
Pocahontas Comm Hospital

Other organizations with this tax ID 4

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": "1156464000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1266969600000",
    "number": "1235247925",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "606 NW 7TH ST",
            "city": "POCAHONTAS",
            "state": "IA",
            "postal_code": "505741099",
            "telephone_number": "712-335-3501",
            "fax_number": "712-335-4116"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "606 NW 7TH ST",
            "city": "POCAHONTAS",
            "state": "IA",
            "postal_code": "505741099",
            "telephone_number": "712-335-3501",
            "fax_number": "712-335-4116"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "POCAHONTAS COMMUNITY HOSPITAL",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "POCAHONTAS COMMUNITY HOSPITAL",
        "enumeration_date": "2006-08-25",
        "last_updated": "2010-02-24",
        "status": "A",
        "authorized_official_last_name": "ROETMAN",
        "authorized_official_first_name": "JAMES",
        "authorized_official_middle_name": "D.",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "712-335-3501",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "282NC0060X",
            "taxonomy_group": "",
            "desc": "General Acute Care Hospital, Critical Access",
            "state": "IA",
            "license": "760133H",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0055509",
            "state": "IA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Pocahontas Community Hospital Ambulance",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Pocahontas, IA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 24, 2010; 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.