Grinnell Regional Medical Center

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

Legal business name

GRINNELL REGIONAL MEDICAL CENTER

Doing business as

New Sharon Memorial Clinic

Practice address

302 South Park St
New Sharon, IA 50207

Phone

(641) 637-4046

NPI assigned

Nov 27, 2006

Last updated

Jun 15, 2010By the provider in NPPES

Organization subpart

Yes

Parent organization

GRINNELL REGIONAL MEDICAL CENTERAs reported in NPPES

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

Authorized official

Name

Amy Morrow

Title

Director of Physician Services

Phone

(641) 236-2913

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• New Sharon Memorial Clinic Doing business as

Part of

Memorial Clinic

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

{
    "created_epoch": "1164585600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1276560000000",
    "number": "1457427999",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "302 SOUTH PARK ST",
            "city": "NEW SHARON",
            "state": "IA",
            "postal_code": "50207",
            "telephone_number": "641-637-4046"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "302 SOUTH PARK ST",
            "city": "NEW SHARON",
            "state": "IA",
            "postal_code": "50207",
            "telephone_number": "641-637-4046"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GRINNELL REGIONAL MEDICAL CENTER",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "GRINNELL REGIONAL MEDICAL CENTER",
        "enumeration_date": "2006-11-27",
        "last_updated": "2010-06-15",
        "status": "A",
        "authorized_official_last_name": "MORROW",
        "authorized_official_first_name": "AMY",
        "authorized_official_title_or_position": "DIRECTOR OF PHYSICIAN SERVICES",
        "authorized_official_telephone_number": "641-236-2913"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "IA",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0685123",
            "state": "IA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "New Sharon Memorial Clinic",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Bridge of Faith
• Benjamin John Carlson, D.C.
• Merranda Degeest, MSN,RN
• Mary Heitsman
• Casandra Lynnette Lobberecht, RN
• New Sharon Chiropractic P.C.
• New Sharon Fire and Rescue Association Incorporated (New Sharon Fire & Rescue Association)
• New Sharon Medical Center

• Family Medicine Physician in New Sharon, IA
• Providers in New Sharon, IA by specialty
• Family Medicine Physician in Iowa

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 15, 2010; 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.