NPIMap

Organization Active NPI

Buena Vista Regional Medical Center

  • Personal Emergency Response Attendant
  • Storm Lake, IA
National Provider Identifier
1467518860
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Personal Emergency Response AttendantTaxonomy code 146D00000X
License
110166H Issued in IA
Legal business name
BUENA VISTA REGIONAL MEDICAL CENTER
Practice address
1525 W 5TH St
Storm Lake, IA 50588-3027
Phone
(712) 732-4030
Fax
(712) 213-1233
NPI assigned
Dec 29, 2006
Last updated
Aug 22, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Mr. Todd Hudspeth
Title
Ceo
Phone
(712) 213-8600

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Personal Emergency Response Attendant 146D00000X 110166H IA Primary

Addresses

Primary practice location

1525 W 5TH St
Storm Lake, IA 50588-3027

Mailing address

1525 W 5TH St
PO Box 309
Storm Lake, IA 50588-3027
Phone (712) 732-4030

Other identifiers 1

IdentifierTypeStateIssuer
0671800MedicaidIA

National Provider Directory

National Provider Directory
Tax ID family
Buena Vista Hosp Ambula8 organizations share this tax ID, including this one

Other organizations with this tax ID 7

Organizations that report the same tax identification number in the National Provider Directory.

Practitioners & affiliated clinicians

Practitioners 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1167350400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1467518860",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1525 W 5TH ST",
            "address_2": "PO BOX 309",
            "city": "STORM LAKE",
            "state": "IA",
            "postal_code": "505883027",
            "telephone_number": "712-732-4030",
            "fax_number": "712-213-1233"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1525 W 5TH ST",
            "city": "STORM LAKE",
            "state": "IA",
            "postal_code": "505883027",
            "telephone_number": "712-732-4030",
            "fax_number": "712-213-1233"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BUENA VISTA REGIONAL MEDICAL CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-12-29",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "HUDSPETH",
        "authorized_official_first_name": "TODD",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "712-213-8600",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "146D00000X",
            "taxonomy_group": "",
            "desc": "Personal Emergency Response Attendant",
            "state": "IA",
            "license": "110166H",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0671800",
            "state": "IA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Storm Lake, IA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.