NPIMap

Organization Active NPI

Community Hosp

Doing business as Hawarden Community Hospital

  • Critical Access Hospital
  • Hawarden, IA
National Provider Identifier
1720280928
Registry record updated Oct 6, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Critical Access HospitalTaxonomy code 282NC0060X
Legal business name
COMMUNITY HOSP
Doing business as
Hawarden Community Hospital
Practice address
1111 11TH St
Hawarden, IA 51023-1903
Phone
(712) 551-3100
NPI assigned
Jun 1, 2007
Last updated
Oct 6, 2008By the provider in NPPES
Organization subpart
Yes
Parent organization
COMMUNITY HOSPITALAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Oct 6, 2008

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

Authorized official

Name
Mr. Chad Percy Markham, CEO
Title
Ceo
Phone
(712) 551-3103

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Critical Access Hospital 282NC0060X Primary

Addresses

Primary practice location

1111 11TH St
Hawarden, IA 51023-1903

Mailing address

1111 11TH St
Hawarden, IA 51023
Phone (712) 551-3100

Other identifiers 1

IdentifierTypeStateIssuer
0165126OtherIAELDERLY WAIVER

Other names 1

  • Hawarden Community Hospital Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1720280928. Details of each certification follow.

Hospital certification: CCN 160134

Name & address match This certification has no NPI in the Medicare enrollment files. CMS publishes enrollment files for six facility types only, so it was connected to this NPI by matching the name and address CMS publishes for it.

Legal name
HAWARDEN COMMUNITY HOSPITAL
Certification status
Terminated Other: provider status change, Nov 2, 2000
Provider type (POS)
Hospital – Short-term
Participating since
Jul 1, 1966
Last certification
Nov 23, 1998
Beds
18
Ownership / control type
Local
Facility address
1111 11TH Street
Hawarden, IA 51023

National Provider Directory

National Provider Directory
Tax ID family
Hawarden Regional Healthcare4 organizations share this tax ID, including this one
Part of
Hawarden Regional Healthcare

Other organizations with this tax ID 3

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

Locations

1111 11th St
Hawarden, IA 51023
Phone (712) 551-3100

Ownership & related parties

Parent organization (reported in NPPES) 1

This organization reports itself as a subpart in NPPES; the parent’s legal name matches this organization in the same state.

NPI Registry JSON

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

{
    "created_epoch": "1180656000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1223251200000",
    "number": "1720280928",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1111 11TH ST",
            "city": "HAWARDEN",
            "state": "IA",
            "postal_code": "51023",
            "telephone_number": "712-551-3100"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1111 11TH ST",
            "city": "HAWARDEN",
            "state": "IA",
            "postal_code": "510231903",
            "telephone_number": "712-551-3100"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COMMUNITY HOSP",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "COMMUNITY HOSPITAL",
        "enumeration_date": "2007-06-01",
        "last_updated": "2008-10-06",
        "status": "A",
        "authorized_official_last_name": "MARKHAM",
        "authorized_official_first_name": "CHAD",
        "authorized_official_middle_name": "PERCY",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "712-551-3103",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "CEO"
    },
    "taxonomies": [
        {
            "code": "282NC0060X",
            "taxonomy_group": "",
            "desc": "General Acute Care Hospital, Critical Access",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ELDERLY WAIVER",
            "identifier": "0165126",
            "state": "IA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Hawarden Community Hospital",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Hawarden, IA

Sources for this page

Verify at the official NPI Registry.