NPIMap

Organization Active NPI

Grinnell Regional Medical Center

  • Surgery Physician
  • Grinnell, IA
National Provider Identifier
1760738579
Registry record updated Jan 22, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgery PhysicianTaxonomy code 208600000X
Legal business name
GRINNELL REGIONAL MEDICAL CENTER
Practice address
210 4TH Ave
Grinnell, IA 50112-1898
Phone
(641) 236-7511
Fax
(641) 236-2403
NPI assigned
Jul 30, 2012
Organization subpart
Yes
Parent organization
GRINNELL REGIONAL MEDICAL CENTERAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Jan 22, 2015

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

Authorized official

Name
Todd C. Linden
Title
President & Ceo
Phone
(641) 236-7511

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Surgery PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 208600000X Primary
Physician AssistantGroup: 193200000X MULTI-SPECIALTY GROUP 363A00000X

Addresses

Primary practice location

210 4TH Ave
Grinnell, IA 50112-1898

Mailing address

210 4TH Ave
Grinnell, IA 50112-1898
Phone (641) 236-7511

Other names 1

  • GRINNELL REGIONAL OSTOMY & WOUND Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20040127001219 IA Part B Supplier - Clinic/Group Practice 0446153662 Receives reassigned benefits from 173 practitioners
12 other NPIs on this enrollment
This NPI is an additional NPI on the enrollment
Practice locations: Pella, IA; Waterloo, IA; Robins, IA; Oskaloosa, IA; Marshalltown, IA; Marion, IA; Kalona, IA; Iowa City, IA…

National Provider Directory

National Provider Directory
Part of
Lynnville Medical Clini

Ownership & related parties

Other NPIs on the same Medicare enrollment 12

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

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1343606400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1421884800000",
    "number": "1760738579",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "210 4TH AVE",
            "city": "GRINNELL",
            "state": "IA",
            "postal_code": "501121898",
            "telephone_number": "641-236-7511",
            "fax_number": "641-236-2403"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "210 4TH AVE",
            "city": "GRINNELL",
            "state": "IA",
            "postal_code": "501121898",
            "telephone_number": "641-236-7511",
            "fax_number": "641-236-2403"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GRINNELL REGIONAL MEDICAL CENTER",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "GRINNELL REGIONAL MEDICAL CENTER",
        "enumeration_date": "2012-07-30",
        "last_updated": "2015-01-22",
        "status": "A",
        "authorized_official_last_name": "LINDEN",
        "authorized_official_first_name": "TODD",
        "authorized_official_middle_name": "C.",
        "authorized_official_title_or_position": "PRESIDENT & CEO",
        "authorized_official_telephone_number": "641-236-7511"
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Surgery",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "363A00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Physician Assistant",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "GRINNELL REGIONAL OSTOMY & WOUND",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Grinnell, IA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 22, 2015; 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.