NPIMap

Organization Active NPI

Washington County Hospital

Doing business as Washington County Hospital and clinics

  • Emergency Medicine Physician
  • Washington, IA
National Provider Identifier
1366656530
Registry record updated Jan 7, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Emergency Medicine PhysicianTaxonomy code 207P00000X
License
9200H Issued in IA
Legal business name
WASHINGTON COUNTY HOSPITAL
Doing business as
Washington County Hospital and clinics
Practice address
400 E Polk St
Washington, IA 52353-1237
Phone
(319) 653-5481
NPI assigned
May 9, 2007
Last updated
Jan 7, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 7, 2020

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

Authorized official

Name
Todd Patterson
Title
Ceo
Phone
(319) 863-3901

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Emergency Medicine Physician 207P00000X 9200H IA Primary

Addresses

Primary practice location

400 E Polk St
Washington, IA 52353-1237

Mailing address

400 E Polk St
Washington, IA 52353-1237
Phone (319) 653-5481

Other identifiers 2

IdentifierTypeStateIssuer
26491OtherIABLUE CROSS
0264911MedicaidIA

Other names 1

  • Washington County Hospital and clinics Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20031226000310 IA Part B Supplier - Clinic/Group Practice 2062329931 Receives reassigned benefits from 90 practitioners
7 other NPIs on this enrollment
This NPI is an additional NPI on the enrollment
Practice locations: Washington, IA; Kalona, IA

Other NPIs on the same Medicare enrollment 5

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

National Provider Directory

National Provider Directory

Locations

400 E Polk St
Washington, IA 52353
Phone (319) 653-5481

Practitioners & affiliated clinicians

Practitioners 52

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 52

NPI Registry JSON

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

{
    "created_epoch": "1178668800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1578355200000",
    "number": "1366656530",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "400 E POLK ST",
            "city": "WASHINGTON",
            "state": "IA",
            "postal_code": "523531237",
            "telephone_number": "319-653-5481"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "400 E POLK ST",
            "city": "WASHINGTON",
            "state": "IA",
            "postal_code": "523531237",
            "telephone_number": "319-653-5481"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WASHINGTON COUNTY HOSPITAL",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-09",
        "last_updated": "2020-01-07",
        "certification_date": "2020-01-07",
        "status": "A",
        "authorized_official_last_name": "PATTERSON",
        "authorized_official_first_name": "TODD",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "319-863-3901"
    },
    "taxonomies": [
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "IA",
            "license": "9200H",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS",
            "identifier": "26491",
            "state": "IA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0264911",
            "state": "IA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Washington County Hospital and clinics",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Washington County Hospital and clinics",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Washington, IA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 7, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.