NPIMap

Organization Active NPI

Mary Greeley Medical Center

  • Inpatient Hospice
  • Ames, IA
National Provider Identifier
1366428179
Registry record updated Dec 15, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Inpatient HospiceTaxonomy code 315D00000X
Legal business name
MARY GREELEY MEDICAL CENTER
Practice address
400 S Dakota Ave
Ames, IA 50014-7775
Phone
(515) 239-6730
NPI assigned
Dec 22, 2005
Organization subpart
Yes
Parent organization
MARY GREELEY MEDICAL CENTERAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Dec 15, 2025

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

Authorized official

Name
Amber Deardorff
Title
President/Ceo
Phone
(515) 239-2105

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Inpatient Hospice 315D00000X Primary

Addresses

Primary practice location

400 S Dakota Ave
Ames, IA 50014-7775

Mailing address

PO Box 1729
Ames, IA 50010-1729
Phone (515) 239-2111

Other identifiers 1

IdentifierTypeStateIssuer
0615088MedicaidIA

National Provider Directory

National Provider Directory
Tax ID family
Mary Greeley ER Physici13 organizations share this tax ID, including this one
Part of
Mary Greeley ER Physici

Other organizations with this tax ID 12

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": "1135209600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1765756800000",
    "number": "1366428179",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1729",
            "city": "AMES",
            "state": "IA",
            "postal_code": "500101729",
            "telephone_number": "515-239-2111",
            "fax_number": "515-239-2060"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "400 S DAKOTA AVE",
            "city": "AMES",
            "state": "IA",
            "postal_code": "500147775",
            "telephone_number": "515-239-6730"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MARY GREELEY MEDICAL CENTER",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "MARY GREELEY MEDICAL CENTER",
        "enumeration_date": "2005-12-22",
        "last_updated": "2025-12-15",
        "certification_date": "2025-12-15",
        "status": "A",
        "authorized_official_last_name": "DEARDORFF",
        "authorized_official_first_name": "AMBER",
        "authorized_official_title_or_position": "PRESIDENT/CEO",
        "authorized_official_telephone_number": "515-239-2105"
    },
    "taxonomies": [
        {
            "code": "315D00000X",
            "taxonomy_group": "",
            "desc": "Hospice, Inpatient",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0615088",
            "state": "IA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Ames, IA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 15, 2025; 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.