Davis County Hospital
Organization Active NPI Specialist · Bloomfield, IA
NPI 1487740486 · NPPES record last updated Oct 27, 2020
Key facts
- NPI
- 1487740486
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Specialist 174400000X
- License
- 17938 (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
- Organization subpart
- No
Authorized official
- Name
- Kendra Jean Warning
- Title
- Cfo
- Phone
- (641) 664-2145
Owned or controlled facilities with NPI records 2
Other NPIs with the same Medicare PAC ID 3
Practitioners 73
-
Nakila Blessing, ARNP
-
Robert Daniel Floyd, D.O.
-
Sarah L Brewer, D.O.
-
Deborah A.K Holte, DPM
-
James Bruce Pitt, D.O.
-
Shehada M Homedan, M.D.
-
Patricia Louise Blackledge, ARNP MS
-
Elizabeth Nell Cain, ARNP
-
Paul Andrew Conte, M.D.
-
Jennifer Lorayne Coxe, N.P.
-
Wendy L Fluegel, MD
-
Brittney Gee, DO
-
Mary L Graeff, MD
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in IA
All facility ownership & control disclosures 2
| Facility | Type | Role | Since |
|---|---|---|---|
| Davis County Hospital |
Hospital | Operational/Managerial Control | Oct 1, 2001 |
| Davis County Hospital |
Hospital | Operational/Managerial Control | Oct 1, 2001 |
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20040319001367 | IA | Part B Supplier - Clinic/Group Practice | 3971493040 |
Receives reassigned benefits from 72 practitioners Practice locations: Bloomfield, IA |
National Provider Directory
Locations
800 N Davis St
Bloomfield, IA 52537
Phone (641) 664-2334
509 N Madison St
Ste 100
Bloomfield, IA 52537
Phone (641) 664-3832
507 N Madison St
#509
Bloomfield, IA 52537
316 N Main St
Milton, IA 52570
Phone (641) 656-4200
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Specialist |
174400000X | 17938 | IA | Yes |
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 identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0179382 | Medicaid | IA |
Other names
- Davis Coutny Hospital Physician group
Electronic endpoints
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | DCHC@davis.cernerdirect.com | Direct |
Other providers in Bloomfield, IA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Oct 27, 2020. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- CMS facility enrollments, All Owners and change-of-ownership files: CCNs, owners and managing parties.
- Provider of Services files (CMS): certification status, beds and related CCNs.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.