County of Guthrie

Primary specialty

Home Health AgencyTaxonomy code 251E00000X

Legal business name

COUNTY OF GUTHRIE

Practice address

2002 State St
Suite 1
Guthrie Center, IA 50115-8897

Phone

(641) 747-3972

Fax

(641) 747-3839

NPI assigned

Jan 23, 2006

Organization subpart

No

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

Authorized official

Name

Mr. Jotham J. Arber, BA, MPH

Title

Administrator

Phone

(641) 747-3972

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in IA

Enrollment records 1

Home health agency certification: CCN 167108

Legal name

COUNTY OF GUTHRIE

Doing business as

GUTHRIE COUNTY PUBLIC HEALTH NURSING SERVICE

Certification status

Active

Provider type (POS)

Home health agency

Participating since

Jun 1, 1979

Last certification

Nov 8, 2018

Ownership / control type

Government Operated

Organization structure

GovernmentNon-profit

Enrollment address

2002 State St
Guthrie Center, IA 50115-8897

Other NPIs with the same Medicare PAC ID 1

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

• County of Guthrie

  dba Guthrie County Public Health

  • Public Health or Welfare Agency
  • Guthrie Center, IA
  • NPI 1568887982

  2769518323

  Same PAC ID

Listed as

Guthrie County PHNSCCN 167108 · All quality measures

Overall star rating

2 of 5

Ownership

Government Operated

Certified

Jun 1, 1979

Medicare certification status

ActiveFrom the Provider of Services file

Services

Nursing, Medical social, Home health aide, Physical therapy, Speech pathology, Occupational therapy

Tax ID family

County of Guthrie4 organizations share this tax ID, including this one

Other organizations with this tax ID 3

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

• County of Guthrie

  dba Guthrie County Public Health

  • Social Worker
  • Guthrie Center, IA
  • NPI 1295532992
  NPD tax ID
• County of Guthrie

  dba Guthrie County Nursing Service

  • Family Nurse Practitioner
  • Guthrie Center, IA
  • NPI 1336946029
  NPD tax ID
• County of Guthrie

  dba Guthrie County Public Health

  • Public Health or Welfare Agency
  • Guthrie Center, IA
  • NPI 1568887982
  NPD tax ID

All disclosed owners & managing parties 3

As disclosed on the Medicare enrollment (CMS All Owners files). Individuals include officers, directors and managing employees, who may not hold ownership.

Owners & managing parties with NPI records 1

Owners and managing parties disclosed on this facility’s Medicare enrollment that are themselves Medicare-enrolled.

• County of Guthrie

  dba Guthrie County Public Health

  • Public Health or Welfare Agency
  • Guthrie Center, IA
  • NPI 1568887982

  5% Or Greater Direct Ownership Interest

  CMS ownership

Affiliated clinicians 2

Clinicians who list this facility as an affiliation in Medicare Care Compare.

• Steven R Bascom, MD

  • Family Medicine Physician
  • Guthrie Center, IA
  • NPI 1164491502

  Home health agency

  Care Compare affiliation
• Stephanie Vampola-Runyan, D.O.

  • Family Medicine Physician
  • Audubon, IA
  • NPI 1891101457

  Home health agency

  Care Compare affiliation

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

{
    "created_epoch": "1137974400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1396828800000",
    "number": "1780654855",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2002 STATE ST",
            "address_2": "SUITE 1",
            "city": "GUTHRIE CENTER",
            "state": "IA",
            "postal_code": "501158897",
            "telephone_number": "641-747-3972",
            "fax_number": "641-747-3839"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2002 STATE ST",
            "address_2": "SUITE 1",
            "city": "GUTHRIE CENTER",
            "state": "IA",
            "postal_code": "501158897",
            "telephone_number": "641-747-3972",
            "fax_number": "641-747-3839"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COUNTY OF GUTHRIE",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-01-23",
        "last_updated": "2014-04-07",
        "status": "A",
        "authorized_official_last_name": "ARBER",
        "authorized_official_first_name": "JOTHAM",
        "authorized_official_middle_name": "J.",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "641-747-3972",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "BA, MPH"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0671081",
            "state": "IA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Country View Estates, Inc.
• Country View Estates, Inc.
• County of Guthrie (Guthrie County Public Health)
• County of Guthrie (Guthrie County Nursing Service)
• County of Guthrie (Guthrie County Public Health)
• Amber C Dardanes, ARNP
• Jane K Deets, ARNP
• Dowd Drug Inc. (Dowd Drug, Long Term Care)
• Dowd Drug Inc.
• Addison Noelle Enns, LMSW

• Home Health Agency in Guthrie Center, IA
• Providers in Guthrie Center, IA by specialty
• Home Health Agency in Iowa

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 7, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; facility enrollments, owners and changes of ownership; Provider of Services certification data.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.