Floyd Valley Hospital
Organization Active NPI Diagnostic Radiology Physician · Le Mars, IA
NPI 1922160019 · NPPES record last updated Nov 17, 2010
Key facts
- NPI
- 1922160019
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Diagnostic Radiology Physician 2085R0202X
- License
- 750004H (IA)
- Legal business name
- FLOYD VALLEY HOSPITAL
- Practice address
- 714 Lincoln St NE
Le Mars, IA 51031-3314 - Phone
- (712) 546-3398
- Fax
- (712) 546-3352
- NPI assigned
- Dec 14, 2006
- Organization subpart
- No
Authorized official
- Name
- Mr. Daryl J Friedenbach
- Title
- Director of Fiscal Services
- Phone
- (712) 546-3338
Other NPIs on the same Medicare enrollment 8
Corporate family (same tax ID) 7
Practitioners 2
-
Thomas J Posch, M.D.
-
Stanley Douglas Kurisko, M.D.
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in IA
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20040129001169 | IA | Part B Supplier - Clinic/Group Practice | 2769385475 |
Receives reassigned benefits from 51 practitioners 8 other NPIs on this enrollment This NPI is an additional NPI on the enrollment Practice locations: Le Mars, IA; Marcus, IA; Remsen, IA; Sioux Center, IA |
National Provider Directory
- Tax ID family
- Floyd Valley Neurology
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Diagnostic Radiology Physician |
2085R0202X | 750004H | IA | Yes |
Addresses
Primary practice location
714 Lincoln St NE
Le Mars, IA 51031-3314
Mailing address
714 Lincoln St NE
Le Mars, IA 51031-3314
Phone (712) 546-3398
Other names
- Floyd Valley Radiology Services
NPI Registry JSON
{
"created_epoch": "1166054400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1289952000000",
"number": "1922160019",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "714 LINCOLN ST NE",
"city": "LE MARS",
"state": "IA",
"postal_code": "510313314",
"telephone_number": "712-546-3398",
"fax_number": "712-546-3352"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "714 LINCOLN ST NE",
"city": "LE MARS",
"state": "IA",
"postal_code": "510313314",
"telephone_number": "712-546-3398",
"fax_number": "712-546-3352"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "FLOYD VALLEY HOSPITAL",
"organizational_subpart": "NO",
"enumeration_date": "2006-12-14",
"last_updated": "2010-11-17",
"status": "A",
"authorized_official_last_name": "FRIEDENBACH",
"authorized_official_first_name": "DARYL",
"authorized_official_middle_name": "J",
"authorized_official_title_or_position": "DIRECTOR OF FISCAL SERVICES",
"authorized_official_telephone_number": "712-546-3338",
"authorized_official_name_prefix": "Mr."
},
"taxonomies": [
{
"code": "2085R0202X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Radiology, Diagnostic Radiology",
"state": "IA",
"license": "750004H",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "Floyd Valley Radiology Services",
"code": "3",
"type": "Doing Business As"
}
]
}Other providers in Le Mars, IA
- Floyd Valley Healthcare
- Floyd Valley Healthcare
- Floyd Valley Healthcare
- Floyd Valley Hospital
- Floyd Valley Hospital
- Foresight Eye Care, PLLC
- Fortitude Mental Health Services L.L.C
- Sarah Fude Huisman
- Brian Thomas Fulton
- Andrew J Geha
All providers in Le Mars, IA · Diagnostic Radiology Physician in Iowa
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Nov 17, 2010. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.