Organization Active NPI

Iowa Specialty Hospital- Clarion

  • Critical Access Hospital
  • Clarion, IA
National Provider Identifier
1396760153
Registry record updated Jan 20, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Critical Access HospitalTaxonomy code 282NC0060X
License
990177H Issued in IA
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, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 20, 2020

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)CodeLicenseStatePrimary
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, UT28 enrollments

Enrollment records 28

Enrollment IDStateProvider typePAC IDDetails
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).

Other NPIs on the same Medicare enrollment 2

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

National Provider Directory

National Provider Directory

Member 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.

FacilityTypeRoleSince
Iowa Specialty Hospital- ClarionClarion, IA, CCN 161302 Hospital Operational/Managerial Control (100%) Jan 1, 2000
Iowa Specialty Hospital-ClarionClarion, IA, CCN 16Z302 Hospital Operational/Managerial Control (100%) Jan 1, 2000
Fort Dodge ClinicFort Dodge, IA, CCN 168644 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.

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.

View all 238

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

Sources for this page

Verify at the official NPI Registry.