NPIMap

Organization Active NPI

Hamilton County Public Hospital

Doing business as Van Diest Medical Center Dayton Clinic

  • Rural Health Clinic/Center
  • Dayton, IA
National Provider Identifier
1629413141
Registry record updated Jul 2, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Rural Health Clinic/CenterTaxonomy code 261QR1300X
Legal business name
HAMILTON COUNTY PUBLIC HOSPITAL
Doing business as
Van Diest Medical Center Dayton Clinic
Practice address
24 S Main St
Dayton, IA 50530-7698
Phone
(515) 832-9400
NPI assigned
May 10, 2013
Last updated
Jul 2, 2013By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 2, 2013

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

Authorized official

Name
Alice Heinrichs
Title
Cfo
Phone
(515) 832-9400

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Rural Health Clinic/Center 261QR1300X Primary

Addresses

Primary practice location

24 S Main St
Dayton, IA 50530-7698

Mailing address

24 S Main St
Dayton, IA 50530-7698

Other names 1

  • Van Diest Medical Center Dayton Clinic Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20031216000775 IA Part B Supplier - Clinic/Group Practice 1254241565 Receives reassigned benefits from 78 practitioners
7 other NPIs on this enrollment
This NPI is an additional NPI on the enrollment
Practice locations: Webster City, IA; Stratford, IA; Jewell, IA; Fort Dodge, IA

Other NPIs on the same Medicare enrollment 7

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

National Provider Directory

National Provider Directory

Member of 1

Organizations this organization is a member of, according to the National Provider Directory.

Locations

24 S Main St
Dayton, IA 50530
Phone (515) 547-2974

NPI Registry JSON

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

{
    "created_epoch": "1368144000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1372723200000",
    "number": "1629413141",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "24 S MAIN ST",
            "city": "DAYTON",
            "state": "IA",
            "postal_code": "505307698"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "24 S MAIN ST",
            "city": "DAYTON",
            "state": "IA",
            "postal_code": "505307698",
            "telephone_number": "515-832-9400"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HAMILTON COUNTY PUBLIC HOSPITAL",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-05-10",
        "last_updated": "2013-07-02",
        "status": "A",
        "authorized_official_last_name": "HEINRICHS",
        "authorized_official_first_name": "ALICE",
        "authorized_official_title_or_position": "CFO",
        "authorized_official_telephone_number": "515-832-9400"
    },
    "taxonomies": [
        {
            "code": "261QR1300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Rural Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Van Diest Medical Center Dayton Clinic",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Dayton, IA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 2, 2013; 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.