Jennie Edmundson Memorial Hospital

Primary specialty

Clinical Medical LaboratoryTaxonomy code 291U00000X

Legal business name

JENNIE EDMUNDSON MEMORIAL HOSPITAL

Practice address

933 E Pierce St
Council Bluffs, IA 51503-4626

Phone

(712) 396-6000

NPI assigned

Oct 6, 2020

Organization subpart

No

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

Authorized official

Name

Jeff Francis

Title

VP Finance & Cfo

Phone

(402) 354-5438

Specialties & licenses 1

Addresses

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Tax ID family

Jennie Edmundson Memorial Hospital3 organizations share this tax ID, including this one

Other organizations with this tax ID 2

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

• Jennie Edmundson Memorial Hospital

  • General Acute Care Hospital
  • Council Bluffs, IA
  • NPI 1457448755
  NPD tax ID
• Loess Hills Orthopedics

  • Surgery Physician
  • Council Bluffs, IA
  • NPI 1497956775
  NPD tax ID

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

{
    "created_epoch": "1601942400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1601942400000",
    "number": "1497352165",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "933 E PIERCE ST",
            "city": "COUNCIL BLUFFS",
            "state": "IA",
            "postal_code": "515034626",
            "telephone_number": "712-396-6000"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "933 E PIERCE ST",
            "city": "COUNCIL BLUFFS",
            "state": "IA",
            "postal_code": "515034626",
            "telephone_number": "712-396-6000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JENNIE EDMUNDSON MEMORIAL HOSPITAL",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-10-06",
        "last_updated": "2020-10-06",
        "certification_date": "2020-10-06",
        "status": "A",
        "authorized_official_last_name": "FRANCIS",
        "authorized_official_first_name": "JEFF",
        "authorized_official_title_or_position": "VP FINANCE & CFO",
        "authorized_official_telephone_number": "402-354-5438"
    },
    "taxonomies": [
        {
            "code": "291U00000X",
            "taxonomy_group": "",
            "desc": "Clinical Medical Laboratory",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Elizabeth Ellen James, MSN, RN
• Latasha Naomi James, LPN
• Bailey Janssen
• Amanda Marie Jaramillo Ayon, LMSW
• Jennie Edmundson Memorial Hospital
• Jennie Edmundson Memorial Hospital
• Jill N Jensen, PA-C
• Scott Jensen, PT
• Gregory A Jeppesen, DO
• Julie Laura Jochum, O.D.

• Clinical Medical Laboratory in Council Bluffs, IA
• Providers in Council Bluffs, IA by specialty
• Clinical Medical Laboratory in Iowa

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 6, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.