NPIMap

Organization Active NPI

Davis County Hospital

  • Specialist
  • Bloomfield, IA
National Provider Identifier
1487740486
Registry record updated Oct 27, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
License
17938 Issued in IA
Legal business name
DAVIS COUNTY HOSPITAL
Practice address
509 N Madison St
Bloomfield, IA 52537-1271
Phone
(641) 664-2145
Fax
(641) 664-1669
NPI assigned
Oct 5, 2006
Last updated
Oct 27, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 27, 2020

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

Authorized official

Name
Kendra Jean Warning
Title
Cfo
Phone
(641) 664-2145

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
SpecialistGroup: 193200000X MULTI-SPECIALTY GROUP 174400000X 17938 IA Primary

Addresses

Primary practice location

509 N Madison St
Bloomfield, IA 52537-1271

Mailing address

509 N Madison St
Bloomfield, IA 52537-1271
Phone (641) 664-2145

Other names 1

  • Davis Coutny Hospital Physician group Other name

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address DCHC@davis.cernerdirect.com Direct

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20040319001367 IA Part B Supplier - Clinic/Group Practice 3971493040 Receives reassigned benefits from 72 practitioners
Practice locations: Bloomfield, IA

Other NPIs with the same Medicare PAC ID 3

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

National Provider Directory

National Provider Directory

Locations

507 N Madison St
#509
Bloomfield, IA 52537

509 N Madison St
Ste 100
Bloomfield, IA 52537
Phone (641) 664-3832

316 N Main St
Milton, IA 52570
Phone (641) 656-4200

Ownership & related parties

All facility ownership & control disclosures 2

Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.

FacilityTypeRoleSince
Davis County HospitalBloomfield, IA, CCN 16Z327 Hospital Operational/Managerial Control Oct 1, 2001
Davis County HospitalBloomfield, IA, CCN 161327 Hospital Operational/Managerial Control Oct 1, 2001

Owned or controlled facilities with NPI records 2

Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.

Practitioners & affiliated clinicians

Practitioners 74

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 74

NPI Registry JSON

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

{
    "created_epoch": "1160006400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1603756800000",
    "number": "1487740486",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "509 N MADISON ST",
            "city": "BLOOMFIELD",
            "state": "IA",
            "postal_code": "525371271",
            "telephone_number": "641-664-2145",
            "fax_number": "641-664-1669"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "509 N MADISON ST",
            "city": "BLOOMFIELD",
            "state": "IA",
            "postal_code": "525371271",
            "telephone_number": "641-664-2145",
            "fax_number": "641-664-1669"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DAVIS COUNTY HOSPITAL",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-05",
        "last_updated": "2020-10-27",
        "certification_date": "2020-10-27",
        "status": "A",
        "authorized_official_last_name": "WARNING",
        "authorized_official_first_name": "KENDRA",
        "authorized_official_middle_name": "JEAN",
        "authorized_official_title_or_position": "CFO",
        "authorized_official_telephone_number": "641-664-2145"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Specialist",
            "state": "IA",
            "license": "17938",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "DCHC@davis.cernerdirect.com",
            "affiliation": "N",
            "endpointDescription": "Davis County Hospital & Clinics",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "CCDA",
            "address_1": "509 N Madison St",
            "city": "Bloomfield",
            "state": "IA",
            "country_code": "US",
            "postal_code": "525371271",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "organization_name": "Davis Coutny Hospital Physician group",
            "code": "5",
            "type": "Other Name"
        },
        {
            "organization_name": "Davis Coutny Hospital Physician group",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Bloomfield, IA

Sources for this page

Verify at the official NPI Registry.