NPIMap

Organization Active NPI

Washington County Hospital

Doing business as Beans Pharmacy

  • Community/Retail Pharmacy
  • Washington, IA
National Provider Identifier
1609120153
Registry record updated Jan 8, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
License
1546 Issued in IA
Legal business name
WASHINGTON COUNTY HOSPITAL
Doing business as
Beans Pharmacy
Practice address
222 S Iowa Ave
Washington, IA 52353-1736
Phone
(319) 653-4646
Fax
(319) 653-3926
NPI assigned
Nov 6, 2012
Last updated
Jan 8, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 8, 2020

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

Authorized official

Name
Todd Patterson
Title
Ceo
Phone
(319) 863-3900

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Retail Pharmacy 3336C0003X 1546 IA Primary

Addresses

Primary practice location

222 S Iowa Ave
Washington, IA 52353-1736

Mailing address

222 S Iowa Ave
Washington, IA 52353-1736
Phone (319) 653-4646

Other identifiers 1

IdentifierTypeStateIssuer
2155488OtherPK

Other names 1

  • Beans Pharmacy Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IA2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20160315001589 IA DME Supplier - Pharmacy 2062329931 Practice locations: Washington, IA
O20160719000611 IA Part B Supplier - Mass Immunization (Roster Biller Only) 2062329931 Practice locations: Washington, IA

Other NPIs with the same Medicare PAC ID 7

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

National Provider Directory

National Provider Directory
Tax ID family
Washington Co Hosp Emer8 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.

Ownership & related parties

All facility ownership & control disclosures 5

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

FacilityTypeRoleSince
Washington County Hospital and ClinicsWashington, IA, CCN 16Z344 Hospital 5% Or Greater Direct Ownership Interest (100%) Dec 1, 2002
Washington County Hospital and Clinics Family MedicineWashington, IA, CCN 168567 Rural health clinic 5% Or Greater Direct Ownership Interest (100%) Mar 1, 2014
Washington County Hospital and Clinics McCreedy Medical ClinicWashington, IA, CCN 168568 Rural health clinic 5% Or Greater Direct Ownership Interest (100%) Jul 1, 2007
Washington County Hospital and Clinics Columbus Junction ClinicColumbus Junction, IA, CCN 168654 Rural health clinic 5% Or Greater Direct Ownership Interest (100%) Mar 1, 2021
WCHC Mediapolis ClinicMediapolis, IA, CCN 168674 Rural health clinic Operational/Managerial Control (100%) Jan 1, 2025

Owned or controlled facilities with NPI records 5

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

NPI Registry JSON

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

{
    "created_epoch": "1352160000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1578441600000",
    "number": "1609120153",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "222 S IOWA AVE",
            "city": "WASHINGTON",
            "state": "IA",
            "postal_code": "523531736",
            "telephone_number": "319-653-4646",
            "fax_number": "319-653-3926"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "222 S IOWA AVE",
            "city": "WASHINGTON",
            "state": "IA",
            "postal_code": "523531736",
            "telephone_number": "319-653-4646",
            "fax_number": "319-653-3926"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WASHINGTON COUNTY HOSPITAL",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-11-06",
        "last_updated": "2020-01-08",
        "certification_date": "2020-01-08",
        "status": "A",
        "authorized_official_last_name": "PATTERSON",
        "authorized_official_first_name": "TODD",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "319-863-3900"
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "IA",
            "license": "1546",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PK",
            "identifier": "2155488",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Beans Pharmacy",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Beans Pharmacy",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Washington, IA

Sources for this page

Verify at the official NPI Registry.