NPIMap

Organization Active NPI

Floyd County Memorial Hospital Crna

  • Specialist
  • Charles City, IA
National Provider Identifier
1275624975
Registry record updated Sep 15, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
License
D087130 Issued in IA
Legal business name
FLOYD COUNTY MEMORIAL HOSPITAL CRNA
Practice address
800 11TH St
Charles City, IA 50616-3468
Phone
(641) 228-6830
Fax
(641) 257-4386
NPI assigned
Sep 27, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 15, 2021

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

Authorized official

Name
Mike Anderson
Title
Cfo
Phone
(641) 228-6830

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
SpecialistGroup: 193400000X SINGLE SPECIALTY GROUP 174400000X D087130 IA Primary

Addresses

Primary practice location

800 11TH St
Charles City, IA 50616-3468

Mailing address

PO Box 2400
Waterloo, IA 50704-2400
Phone (319) 260-2100

National Provider Directory

National Provider Directory

Member of 1

Organizations this organization is a member of, according to the National Provider Directory.

Locations

800 11th St
Charles City, IA 50616
Phone (641) 228-6830

NPI Registry JSON

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

{
    "created_epoch": "1159315200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1631664000000",
    "number": "1275624975",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 2400",
            "city": "WATERLOO",
            "state": "IA",
            "postal_code": "507042400",
            "telephone_number": "319-260-2100",
            "fax_number": "319-260-2102"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "800 11TH ST",
            "city": "CHARLES CITY",
            "state": "IA",
            "postal_code": "506163468",
            "telephone_number": "641-228-6830",
            "fax_number": "641-257-4386"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FLOYD COUNTY MEMORIAL HOSPITAL CRNA",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-09-27",
        "last_updated": "2021-09-15",
        "certification_date": "2021-09-15",
        "status": "A",
        "authorized_official_last_name": "ANDERSON",
        "authorized_official_first_name": "MIKE",
        "authorized_official_title_or_position": "CFO",
        "authorized_official_telephone_number": "641-228-6830"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Specialist",
            "state": "IA",
            "license": "D087130",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Charles City, IA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 15, 2021; 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.