QHC Humboldt North LLC

Primary specialty

Skilled Nursing FacilityTaxonomy code 314000000X

License

0800051 Issued in IA

Legal business name

QHC HUMBOLDT NORTH LLC

Practice address

1111 11TH Ave N
Humboldt, IA 50548-1225

Phone

(515) 332-2623

Fax

(515) 332-2653

NPI assigned

Aug 28, 2005

Organization subpart

No

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

Authorized official

Name

Jerry William Voyna, CPA

Title

Owner

Phone

(515) 276-3656

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

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

{
    "created_epoch": "1125187200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1418601600000",
    "number": "1851384572",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8350 HICKMAN RD",
            "address_2": "SUITE 15",
            "city": "CLIVE",
            "state": "IA",
            "postal_code": "503254311",
            "telephone_number": "515-276-3656",
            "fax_number": "515-276-4353"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1111 11TH AVE N",
            "city": "HUMBOLDT",
            "state": "IA",
            "postal_code": "505481225",
            "telephone_number": "515-332-2623",
            "fax_number": "515-332-2653"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "QHC HUMBOLDT NORTH LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-08-28",
        "last_updated": "2014-12-15",
        "status": "A",
        "authorized_official_last_name": "VOYNA",
        "authorized_official_first_name": "JERRY",
        "authorized_official_middle_name": "WILLIAM",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "515-276-3656",
        "authorized_official_credential": "CPA"
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "IA",
            "license": "0800051",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0800051",
            "state": "IA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• All providers in Humboldt, IA
• Skilled Nursing Facility in Iowa

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 15, 2014; 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.