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Organization Active NPI

Mahaska County Hospital

Doing business as Mahaska Health Sleep and Medical Supplies

  • Durable Medical Equipment & Medical Supplies
  • Oskaloosa, IA
National Provider Identifier
1720429079
Registry record updated Oct 28, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X
Legal business name
MAHASKA COUNTY HOSPITAL
Doing business as
Mahaska Health Sleep and Medical Supplies
Practice address
1229 C Ave E
Oskaloosa, IA 52577-4298
Phone
(641) 672-3289
Fax
(641) 672-3336
NPI assigned
Jul 16, 2013
Organization subpart
Yes
Parent organization
MAHASKA COUNTY HOSPITALAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Oct 28, 2024

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

Authorized official

Name
Kevin Deronde
Title
Ceo
Phone
(641) 672-3100

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Durable Medical Equipment & Medical Supplies 332B00000X Primary

Addresses

Primary practice location

1229 C Ave E
Oskaloosa, IA 52577-4298

Mailing address

1229 C Ave E
Oskaloosa, IA 52577-4298
Phone (641) 672-3289

Other names 1

  • Mahaska Health Sleep and Medical Supplies Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20140205001002 IA DME Supplier - Medical Supply Company With Respiratory TherapistDME Supplier - Orthotic Personnel 2769388677 Practice locations: Oskaloosa, IA

Other NPIs with the same Medicare PAC ID 5

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

National Provider Directory

National Provider Directory
Tax ID family
Diagnostic Eeg Lab Neu14 organizations share this tax ID, including this one
Part of
Diagnostic Eeg Lab Neu

Other organizations with this tax ID 13

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

View all 13

Member organizations 1

Organizations listed as members of this organization in the National Provider Directory.

Ownership & related parties

All facility ownership & control disclosures 1

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

FacilityTypeRoleSince
Oskaloosa Care CenterOskaloosa, IA, CCN 165589 Skilled nursing facility Adp of the SNF May 19, 2008

Owned or controlled facilities with NPI records 1

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": "1373932800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1730073600000",
    "number": "1720429079",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1229 C AVE E",
            "city": "OSKALOOSA",
            "state": "IA",
            "postal_code": "525774298",
            "telephone_number": "641-672-3289",
            "fax_number": "641-672-3336"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1229 C AVE E",
            "city": "OSKALOOSA",
            "state": "IA",
            "postal_code": "525774298",
            "telephone_number": "641-672-3289",
            "fax_number": "641-672-3336"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MAHASKA COUNTY HOSPITAL",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "MAHASKA COUNTY HOSPITAL",
        "enumeration_date": "2013-07-16",
        "last_updated": "2024-10-28",
        "certification_date": "2024-10-28",
        "status": "A",
        "authorized_official_last_name": "DERONDE",
        "authorized_official_first_name": "KEVIN",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "641-672-3100"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Mahaska Health Sleep and Medical Supplies",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Oskaloosa, IA

Sources for this page

Verify at the official NPI Registry.