NPIMap

Organization Active NPI

Crawford County Memorial Hospital

  • Land Ambulance
  • Denison, IA
National Provider Identifier
1649240201
Registry record updated Nov 28, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Land AmbulanceTaxonomy code 3416L0300X
License
2240200 Issued in IA
Legal business name
CRAWFORD COUNTY MEMORIAL HOSPITAL
Practice address
100 Medical Pkwy
Denison, IA 51442-2607
Phone
(712) 265-2500
Fax
(712) 263-1600
NPI assigned
Jan 25, 2006
Organization subpart
Yes
Parent organization
CRAWFORD COUNTY MEMORIAL HOSPITALAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Nov 28, 2011

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

Authorized official

Name
Mr. Nancy J. Carlson
Title
Chief Financial Officer
Phone
(712) 265-2505

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Land Ambulance 3416L0300X 2240200 IA Primary

Addresses

Primary practice location

100 Medical Pkwy
Denison, IA 51442-2607

Mailing address

100 Medical Pkwy
Denison, IA 51442-2607
Phone (712) 265-2500

Other identifiers 1

IdentifierTypeStateIssuer
0052084MedicaidIA

Other names 1

  • Ambulance Other name

National Provider Directory

National Provider Directory
Tax ID family
Crawford Co Mem Hosp ER8 organizations share this tax ID, including this one
Part of
Crawford Co Mem Hosp ER

Other organizations with this tax ID 7

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

NPI Registry JSON

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

{
    "created_epoch": "1138147200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1322438400000",
    "number": "1649240201",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "100 MEDICAL PKWY",
            "city": "DENISON",
            "state": "IA",
            "postal_code": "514422607",
            "telephone_number": "712-265-2500",
            "fax_number": "712-263-1600"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "100 MEDICAL PKWY",
            "city": "DENISON",
            "state": "IA",
            "postal_code": "514422607",
            "telephone_number": "712-265-2500",
            "fax_number": "712-263-1600"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CRAWFORD COUNTY MEMORIAL HOSPITAL",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "CRAWFORD COUNTY MEMORIAL HOSPITAL",
        "enumeration_date": "2006-01-25",
        "last_updated": "2011-11-28",
        "status": "A",
        "authorized_official_last_name": "CARLSON",
        "authorized_official_first_name": "NANCY",
        "authorized_official_middle_name": "J.",
        "authorized_official_title_or_position": "CHIEF FINANCIAL OFFICER",
        "authorized_official_telephone_number": "712-265-2505",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "3416L0300X",
            "taxonomy_group": "",
            "desc": "Ambulance, Land Transport",
            "state": "IA",
            "license": "2240200",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0052084",
            "state": "IA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Ambulance",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Denison, IA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 28, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.