Active NPI
Mahaska County Hospital
- Public Health & General Preventive Medicine Physician
- Oskaloosa, IA
National Provider Identifier
1922077064
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Public Health & General Preventive Medicine Physician
- Legal business name
- MAHASKA COUNTY HOSPITAL
- Practice address
- 1229 C Ave E
Oskaloosa, IA 52577-4298 - Phone
- (641) 672-3100
- Fax
- (641) 672-3336
- NPI assigned
- Mar 14, 2006
- Organization subpart
- Yes
- Parent organization
- MAHASKA COUNTY HOSPITAL
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Kevin L Deronde
- Title
- Ceo
- Phone
- (641) 672-3392
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Public Health & General Preventive Medicine Physician | 2083P0901X | 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) 672-3100
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0670406 | Medicaid | IA | |
| 67040 | Other | IA | WELLMARK PROVIDER NUMBER |
Other names 1
- Mahaska Health Partnership Community Health
National Provider Directory
National Provider Directory- Part of
- Gary F Marklin MD
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1142294400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1569974400000",
"number": "1922077064",
"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": "641-672-3100",
"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": "641-672-3100",
"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": "2006-03-14",
"last_updated": "2019-10-02",
"status": "A",
"authorized_official_last_name": "DERONDE",
"authorized_official_first_name": "KEVIN",
"authorized_official_middle_name": "L",
"authorized_official_title_or_position": "CEO",
"authorized_official_telephone_number": "641-672-3392"
},
"taxonomies": [
{
"code": "2083P0901X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Preventive Medicine, Public Health & General Preventive Medicine",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "0670406",
"state": "IA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "WELLMARK PROVIDER NUMBER",
"identifier": "67040",
"state": "IA"
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "Mahaska Health Partnership Community Health",
"code": "3",
"type": "Doing Business As"
}
]
}Other providers in Oskaloosa, IA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 2, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.