Shenandoah Memorial Hospital

Primary specialty

Psychiatric Hospital UnitTaxonomy code 273R00000X

License

730065H Issued in IA

Legal business name

SHENANDOAH MEMORIAL HOSPITAL

Doing business as

Shenandoah Memorial Hospital

Practice address

300 Pershing Ave
Shenandoah, IA 51601-2355

Phone

(712) 246-1230

Fax

(712) 246-7357

NPI assigned

Dec 26, 2006

Last updated

Nov 4, 2014By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Susan McGough

Title

Ceo

Phone

(712) 246-1230

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Shenandoah Memorial Hospital Doing business as

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

{
    "created_epoch": "1167091200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1415059200000",
    "number": "1942365580",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "300 PERSHING AVE",
            "city": "SHENANDOAH",
            "state": "IA",
            "postal_code": "516012355",
            "telephone_number": "712-246-1230",
            "fax_number": "712-246-7357"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "300 PERSHING AVE",
            "city": "SHENANDOAH",
            "state": "IA",
            "postal_code": "516012355",
            "telephone_number": "712-246-1230",
            "fax_number": "712-246-7357"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SHENANDOAH MEMORIAL HOSPITAL",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-12-26",
        "last_updated": "2014-11-04",
        "status": "A",
        "authorized_official_last_name": "MCGOUGH",
        "authorized_official_first_name": "SUSAN",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "712-246-1230"
    },
    "taxonomies": [
        {
            "code": "273R00000X",
            "taxonomy_group": "",
            "desc": "Psychiatric Unit",
            "state": "IA",
            "license": "730065H",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0600924",
            "state": "IA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Shenandoah Memorial Hospital",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Shenandoah Medical Center (Shenandoah Memorial Hospital)
• Shenandoah Medical Center
• Shenandoah Medical Center (Elm Heights Care Center)
• Shenandoah Medical Center (SMC Home Health and Hospice)
• Shenandoah Medical Center (Shenandoah Memorial Hospital)
• Shenandoah Memorial Hospital DME
• Shenandoan C.S.D.
• Anetra Sherrard
• Amanda Nicole Smith, NP
• Levi Cory Smith, DPM

• Psychiatric Hospital Unit in Shenandoah, IA
• Providers in Shenandoah, IA by specialty
• Psychiatric Hospital Unit in Iowa

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 4, 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.