Active NPI
Pocahontas Community Hospital
Doing business as Pocahontas Community Hospital Hospice
- Community Based Hospice Care Agency
- Pocahontas, IA
National Provider Identifier
1922116607
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Community Based Hospice Care Agency
- 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, 2012
- Organization subpart
- Yes
- Parent organization
- POCAHONTAS COMMUNITY HOSPITAL
NPPES NPI Registry
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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 61522 | Other | IA | BLUE CROSS HOSPICE |
| 0615229 | Medicaid | IA |
Other names 1
- Pocahontas Community Hospital Hospice
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
- Pocahontas Community Hospital
- Pocahontas Community Hospital (Pocahontas Community Hospital Ambulance)
- Pocahontas Community Hospital
- Pocahontas Community Hospital
- Pocahontas Community Hospital
- Pocahontas County Health Department
- Pocahontas County Home Care Aide Agency
- Pocahontas Manor Corporation (Pocahontas Manor)
- Pocahontas Pharmacy Inc
- Rachel Poppen, PHARMD
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.