Organization Active NPI

Pocahontas Community Hospital

Doing business as Pocahontas Community Hospital Hospice

  • Community Based Hospice Care Agency
  • Pocahontas, IA
National Provider Identifier
1922116607
Registry record updated Sep 21, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community Based Hospice Care AgencyTaxonomy code 251G00000X
Legal business name
POCAHONTAS COMMUNITY HOSPITAL
Doing business as
Pocahontas Community Hospital Hospice
Practice address
606 NW 7TH St
Pocahontas, IA 50574-1099
Phone
(712) 335-3430
Fax
(712) 335-4116
NPI assigned
Aug 25, 2006
Last updated
Sep 21, 2012By the provider in NPPES
Organization subpart
Yes
Parent organization
POCAHONTAS COMMUNITY HOSPITALAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Sep 21, 2012

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

Authorized official

Name
Mr. James D. Roetman
Title
Ceo
Phone
(712) 335-3501

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community Based Hospice Care Agency 251G00000X Primary

Addresses

Primary practice location

606 NW 7TH St
Pocahontas, IA 50574-1099

Mailing address

606 NW 7TH St
Pocahontas, IA 50574-1099
Phone (712) 335-3501

Other identifiers 2

IdentifierTypeStateIssuer
61522OtherIABLUE CROSS HOSPICE
0615229MedicaidIA

Other names 1

  • Pocahontas Community Hospital Hospice Doing business as

National Provider Directory

National Provider Directory
Part of
Pocahontas Comm Hospital

NPI Registry JSON

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

{
    "created_epoch": "1156464000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1348185600000",
    "number": "1922116607",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "606 NW 7TH ST",
            "city": "POCAHONTAS",
            "state": "IA",
            "postal_code": "505741099",
            "telephone_number": "712-335-3501",
            "fax_number": "712-335-4116"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "606 NW 7TH ST",
            "city": "POCAHONTAS",
            "state": "IA",
            "postal_code": "505741099",
            "telephone_number": "712-335-3430",
            "fax_number": "712-335-4116"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "POCAHONTAS COMMUNITY HOSPITAL",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "POCAHONTAS COMMUNITY HOSPITAL",
        "enumeration_date": "2006-08-25",
        "last_updated": "2012-09-21",
        "status": "A",
        "authorized_official_last_name": "ROETMAN",
        "authorized_official_first_name": "JAMES",
        "authorized_official_middle_name": "D.",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "712-335-3501",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "251G00000X",
            "taxonomy_group": "",
            "desc": "Hospice Care, Community Based",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS HOSPICE",
            "identifier": "61522",
            "state": "IA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0615229",
            "state": "IA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Pocahontas Community Hospital Hospice",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Pocahontas, IA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 21, 2012; 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.