NPIMap

Organization Active NPI

Guttenberg Municipal Hospital

  • Emergency Medicine Physician
  • Guttenberg, IA
National Provider Identifier
1538337274
Registry record updated Oct 24, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Emergency Medicine PhysicianTaxonomy code 207P00000X
Legal business name
GUTTENBERG MUNICIPAL HOSPITAL
Practice address
200 Main St
Guttenberg, IA 52052-9108
Phone
(563) 252-1121
Fax
(563) 252-5547
NPI assigned
Feb 15, 2008
Last updated
Oct 24, 2024By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 24, 2024

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

Authorized official

Name
Susan Stagman, RHIT
Title
Credentialing Specialist
Phone
(563) 252-1121

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Emergency Medicine Physician 207P00000X Primary

Addresses

Primary practice location

200 Main St
Guttenberg, IA 52052-9108

Mailing address

PO Box 550
Guttenberg, IA 52052-0550
Phone (563) 252-1121

Other identifiers 1

IdentifierTypeStateIssuer
72404OtherIAWELLMARK

Other names 1

  • Guttenberg Hospital-ER Doctors Other name

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20040130000960 IA Part B Supplier - Clinic/Group Practice 6901709476 Receives reassigned benefits from 41 practitioners
2 other NPIs on this enrollment
This NPI is an additional NPI on the enrollment
Practice locations: Guttenberg, IA

Other NPIs on the same Medicare enrollment 2

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

National Provider Directory

National Provider Directory
Tax ID family
Guttenberg Mun Hospital7 organizations share this tax ID, including this one

Other organizations with this tax ID 6

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

Locations

101 S Washington St
Edgewood, IA 52042
Phone (563) 252-1121

200 Main St
Guttenberg, IA 52052
Phone (563) 252-1121

200 Main St
#550
Guttenberg, IA 52052
Phone (563) 252-2141

Practitioners & affiliated clinicians

Practitioners 43

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 43

NPI Registry JSON

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

{
    "created_epoch": "1203033600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1729728000000",
    "number": "1538337274",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 550",
            "city": "GUTTENBERG",
            "state": "IA",
            "postal_code": "520520550",
            "telephone_number": "563-252-1121",
            "fax_number": "563-252-5547"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "200 MAIN ST",
            "city": "GUTTENBERG",
            "state": "IA",
            "postal_code": "520529108",
            "telephone_number": "563-252-1121",
            "fax_number": "563-252-5547"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GUTTENBERG MUNICIPAL HOSPITAL",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-02-15",
        "last_updated": "2024-10-24",
        "certification_date": "2024-10-24",
        "status": "A",
        "authorized_official_last_name": "STAGMAN",
        "authorized_official_first_name": "SUSAN",
        "authorized_official_title_or_position": "CREDENTIALING SPECIALIST",
        "authorized_official_telephone_number": "563-252-1121",
        "authorized_official_credential": "RHIT"
    },
    "taxonomies": [
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "WELLMARK",
            "identifier": "72404",
            "state": "IA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Guttenberg Hospital-ER Doctors",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Guttenberg, IA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 24, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.