Organization Active NPI

Hegg Memorial Hospital

Doing business as Hegg Rehab

  • Rehabilitation Hospital Unit
  • Rock Valley, IA
National Provider Identifier
1245329960
Registry record updated Oct 20, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Rehabilitation Hospital UnitTaxonomy code 273Y00000X
License
840049H Issued in IA
Legal business name
HEGG MEMORIAL HOSPITAL
Doing business as
Hegg Rehab
Practice address
1202 21St Ave
Rock Valley, IA 51247-1420
Phone
(712) 476-8000
Fax
(712) 476-8110
NPI assigned
Oct 12, 2006
Last updated
Oct 20, 2011By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 20, 2011

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

Authorized official

Name
Glenn Zevenbergen
Title
Ceo
Phone
(712) 476-8009

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Rehabilitation Hospital Unit 273Y00000X 840049H IA Primary

Addresses

Primary practice location

1202 21St Ave
Rock Valley, IA 51247-1420

Mailing address

1202 21St Ave
Rock Valley, IA 51247-1420
Phone (712) 476-8000

Other identifiers 2

IdentifierTypeStateIssuer
66548OtherIAWELLMARK
0665489MedicaidIA

Other names 1

  • HEGG REHAB Doing business as

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 91

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 91

NPI Registry JSON

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

{
    "created_epoch": "1160611200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1319068800000",
    "number": "1245329960",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1202 21ST AVE",
            "city": "ROCK VALLEY",
            "state": "IA",
            "postal_code": "512471420",
            "telephone_number": "712-476-8000",
            "fax_number": "712-476-8110"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1202 21ST AVE",
            "city": "ROCK VALLEY",
            "state": "IA",
            "postal_code": "512471420",
            "telephone_number": "712-476-8000",
            "fax_number": "712-476-8110"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HEGG MEMORIAL HOSPITAL",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-12",
        "last_updated": "2011-10-20",
        "status": "A",
        "authorized_official_last_name": "ZEVENBERGEN",
        "authorized_official_first_name": "GLENN",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "712-476-8009"
    },
    "taxonomies": [
        {
            "code": "273Y00000X",
            "taxonomy_group": "",
            "desc": "Rehabilitation Unit",
            "state": "IA",
            "license": "840049H",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "WELLMARK",
            "identifier": "66548",
            "state": "IA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0665489",
            "state": "IA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "HEGG REHAB",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Rock Valley, IA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 20, 2011; 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.