Active NPI
Iowa Specialty Hospital- Clarion
- Critical Access Hospital
- Clarion, IA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Critical Access Hospital
- License
- 990177H
- Legal business name
- IOWA SPECIALTY HOSPITAL- CLARION
- Practice address
- 1316 S Main St
Clarion, IA 50525-2019 - Phone
- (515) 532-2811
- Fax
- (515) 532-9336
- NPI assigned
- Jul 13, 2006
- Last updated
- Jan 20, 2020
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Steve Simonin
- Title
- Ceo
- Phone
- (515) 532-9333
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Critical Access Hospital | 282NC0060X | 990177H | IA | Primary |
Addresses
Primary practice location
1316 S Main St
Clarion, IA 50525-2019
Mailing address
1316 S Main St
Clarion, IA 50525-2019
Phone (515) 532-2811
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in IA, NE, MI, CT, MO, AZ, ID, CO, NM, MN, NV, WA, AL, CA, FL, NC, NY, WI, OR, OH, VA, IL, TX, TN, NJ, PR, SC, UT
Enrollment records 28
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20031120000622 | IA | Part B Supplier - Clinic/Group Practice | 3375451347 |
Receives reassigned benefits from 171 practitioners 2 other NPIs on this enrollment Practice locations: Boone, IA; Webster City, IA; North Liberty, IA; Mason City, IA; Humboldt, IA; Fort Dodge, IA; Clear Lake, IA; Clarion, IA… |
| O20251001004001 | NE | Part B Supplier - Clinic/Group Practice | 3375451347 |
Receives reassigned benefits from 1 practitioner Practice locations: Columbus, NE |
| O20251002002318 | MI | Part B Supplier - Clinic/Group Practice | 3375451347 |
Receives reassigned benefits from 3 practitioners Practice locations: Brighton, MI; Traverse City, MI; Troy, MI |
| O20251007000175 | CT | Part B Supplier - Clinic/Group Practice | 3375451347 |
Receives reassigned benefits from 2 practitioners Practice locations: Woodbridge, CT; Farmington, CT |
| O20251008003846 | MO | Part B Supplier - Clinic/Group Practice | 3375451347 |
Receives reassigned benefits from 1 practitioner Practice locations: Bolivar, MO |
| O20251009003865 | AZ | Part B Supplier - Clinic/Group Practice | 3375451347 |
Receives reassigned benefits from 3 practitioners Practice locations: Flagstaff, AZ; Gilbert, AZ; Scottsdale, AZ |
| O20251010000926 | ID | Part B Supplier - Clinic/Group Practice | 3375451347 |
Receives reassigned benefits from 1 practitioner Practice locations: Boise, ID |
| O20251010002460 | CO | Part B Supplier - Clinic/Group Practice | 3375451347 |
Receives reassigned benefits from 4 practitioners Practice locations: Carbondale, CO; Castle Pines, CO; Denver, CO; Monument, CO |
| O20251010003503 | NM | Part B Supplier - Clinic/Group Practice | 3375451347 |
Receives reassigned benefits from 1 practitioner Practice locations: Los Alamos, NM |
| O20251014000298 | MN | Part B Supplier - Clinic/Group Practice | 3375451347 |
Receives reassigned benefits from 1 practitioner Practice locations: North Oaks, MN |
| O20251014000702 | NV | Part B Supplier - Clinic/Group Practice | 3375451347 |
Receives reassigned benefits from 2 practitioners Practice locations: Reno, NV |
| O20251014002338 | WA | Part B Supplier - Clinic/Group Practice | 3375451347 |
Receives reassigned benefits from 4 practitioners Practice locations: Olympia, WA; Yarrow Point, WA; Seattle, WA; Woodinville, WA |
| O20251015001051 | AL | Part B Supplier - Clinic/Group Practice | 3375451347 |
Receives reassigned benefits from 1 practitioner Practice locations: Fairhope, AL |
| O20251017003857 | CA | Part B Supplier - Clinic/Group Practice | 3375451347 |
Receives reassigned benefits from 5 practitioners Practice locations: Atascadero, CA; Walnut Creek, CA; Rancho Palos Verdes, CA; Rancho Mission Viejo, CA; Corona, CA |
| O20251021003063 | FL | Part B Supplier - Clinic/Group Practice | 3375451347 |
Receives reassigned benefits from 2 practitioners Practice locations: Lakewood Ranch, FL; Pensacola, FL |
| O20251023000880 | NC | Part B Supplier - Clinic/Group Practice | 3375451347 |
Receives reassigned benefits from 1 practitioner Practice locations: Raleigh, NC |
| O20251024000501 | NY | Part B Supplier - Clinic/Group Practice | 3375451347 |
Receives reassigned benefits from 3 practitioners Practice locations: East Hampton, NY; Poughkeepsie, NY; Averill Park, NY |
| O20251024001441 | WI | Part B Supplier - Clinic/Group Practice | 3375451347 |
Receives reassigned benefits from 1 practitioner Practice locations: Waunakee, WI |
| O20251024002801 | OR | Part B Supplier - Clinic/Group Practice | 3375451347 |
Receives reassigned benefits from 2 practitioners Practice locations: Hood River, OR |
| O20251028002523 | OH | Part B Supplier - Clinic/Group Practice | 3375451347 |
Receives reassigned benefits from 1 practitioner Practice locations: Hilliard, OH |
| O20251108000027 | VA | Part B Supplier - Clinic/Group Practice | 3375451347 |
Receives reassigned benefits from 3 practitioners Practice locations: Irvington, VA; Midlothian, VA; Gainesville, VA |
| O20251119002109 | IL | Part B Supplier - Clinic/Group Practice | 3375451347 |
Receives reassigned benefits from 2 practitioners Practice locations: Chicago, IL; Morris, IL |
| O20251121002285 | TX | Part B Supplier - Clinic/Group Practice | 3375451347 |
Receives reassigned benefits from 6 practitioners Practice locations: Houston, TX; San Antonio, TX; Spring, TX; Bellaire, TX |
| O20251202002304 | TN | Part B Supplier - Clinic/Group Practice | 3375451347 |
Receives reassigned benefits from 1 practitioner Practice locations: Memphis, TN |
| O20260108004405 | NJ | Part B Supplier - Clinic/Group Practice | 3375451347 |
Receives reassigned benefits from 2 practitioners Practice locations: Denville, NJ; Margate City, NJ |
| O20260402003991 | PR | Part B Supplier - Clinic/Group Practice | 3375451347 |
Receives reassigned benefits from 1 practitioner Practice locations: Carolina, PR |
| O20260414002810 | SC | Part B Supplier - Clinic/Group Practice | 3375451347 |
Receives reassigned benefits from 1 practitioner Practice locations: Pawleys Island, SC |
| O20260415000728 | UT | Part B Supplier - Clinic/Group Practice | 3375451347 |
Receives reassigned benefits from 1 practitioner Practice locations: Syracuse, UT |
Other NPIs with the same Medicare PAC ID 5
NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).
-
dba Iowa Specialty Pharmacy
- Community/Retail Pharmacy
- Clarion, IA
- NPI 1386719748
3375451347
-
dba Fort Dodge Clinic
- Rural Health Clinic/Center
- Fort Dodge, IA
- NPI 1922578202
3375451347
-
- Medicare Defined Swing Bed Hospital Unit
- Clarion, IA
- NPI 1417993536
3375451347
-
dba Clarion Clinic
- Rural Health Clinic/Center
- Clarion, IA
- NPI 1497791511
3375451347
Other NPIs on the same Medicare enrollment 2
NPIs listed together on one Medicare enrollment, typically parts of the same organization.
-
dba Clarion Clinic
- Rural Health Clinic/Center
- Clarion, IA
- NPI 1417972258
O20031120000622
National Provider Directory
National Provider DirectoryMember of 1
Organizations this organization is a member of, according to the National Provider Directory.
Locations
401 S 17th St
Clear Lake, IA 50428
Phone (515) 832-1200
809 Central Ave
Ste 305
Fort Dodge, IA 50501
Phone (515) 955-2213
903 Willson Ave
Webster City, IA 50595
Phone (515) 524-6060
Ownership & related parties
All facility ownership & control disclosures 3
Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.
| Facility | Type | Role | Since |
|---|---|---|---|
| Iowa Specialty Hospital- Clarion | Hospital | Operational/Managerial Control (100%) | Jan 1, 2000 |
| Iowa Specialty Hospital-Clarion | Hospital | Operational/Managerial Control (100%) | Jan 1, 2000 |
| Fort Dodge Clinic | Rural health clinic | Operational/Managerial Control (100%) | Jan 1, 2000 |
Owned or controlled facilities with NPI records 3
Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.
-
dba Fort Dodge Clinic
- Rural Health Clinic/Center
- Fort Dodge, IA
- NPI 1922578202
Operational/Managerial Control
-
- Medicare Defined Swing Bed Hospital Unit
- Clarion, IA
- NPI 1417993536
Operational/Managerial Control
-
- Critical Access Hospital
- Clarion, IA
- NPI 1821045451
Operational/Managerial Control
Practitioners & affiliated clinicians
Practitioners 238
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.
-
- Family Nurse Practitioner
- Hampton, IA
- NPI 1740030584
-
- Clinical Social Worker
- Clarion, IA
- NPI 1982069035
-
- Occupational Health Nurse Practitioner
- Clarion, IA
- NPI 1164373601
-
- Social Worker
- Belmond, IA
- NPI 1376776856
-
- Medical Physician Assistant
- Clear Lake, IA
- NPI 1770526733
-
- Mental Health Counselor
- Clarion, IA
- NPI 1316381791
-
- Family Nurse Practitioner
- Rockwell, IA
- NPI 1306515093
-
- Certified Registered Nurse Anesthetist
- Clarion, IA
- NPI 1396136107
-
- Clinical Social Worker
- Webster City, IA
- NPI 1346746765
-
- Social Worker
- Belmond, IA
- NPI 1114372281
-
- Family Nurse Practitioner
- Fort Dodge, IA
- NPI 1497290670
-
- Family Nurse Practitioner
- Belmond, IA
- NPI 1104457027
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1152748800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1579478400000",
"number": "1396760153",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1316 S MAIN ST",
"city": "CLARION",
"state": "IA",
"postal_code": "505252019",
"telephone_number": "515-532-2811",
"fax_number": "515-532-9336"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1316 S MAIN ST",
"city": "CLARION",
"state": "IA",
"postal_code": "505252019",
"telephone_number": "515-532-2811",
"fax_number": "515-532-9336"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "IOWA SPECIALTY HOSPITAL- CLARION",
"organizational_subpart": "NO",
"enumeration_date": "2006-07-13",
"last_updated": "2020-01-20",
"certification_date": "2020-01-20",
"status": "A",
"authorized_official_last_name": "SIMONIN",
"authorized_official_first_name": "STEVE",
"authorized_official_title_or_position": "CEO",
"authorized_official_telephone_number": "515-532-9333"
},
"taxonomies": [
{
"code": "282NC0060X",
"taxonomy_group": "",
"desc": "General Acute Care Hospital, Critical Access",
"state": "IA",
"license": "990177H",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Clarion, IA
- Iowa Specialty Hospital- Clarion
- Iowa Specialty Hospital- Clarion
- Iowa Specialty Hospital- Clarion
- Iowa Specialty Hospital- Clarion (Clarion Clinic)
- Iowa Specialty Hospital- Clarion
- Iowa Specialty Hospital- Clarion (Clarion Clinic)
- Iowa Specialty Hospital- Clarion (Clarion Clinic)
- Iowa Specialty Hospital- Clarion
- Iowa Specialty Hospital- Clarion (Clarion Clinic)
- Iowa Specialty Hospital- Clarion
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 20, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; facility enrollments, owners and changes of ownership; Provider of Services certification data.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.