Organization Active NPI

Allen Memorial Hospital Corporation

Doing business as Allen Hospital

  • Rehabilitation Hospital
  • Waterloo, IA
National Provider Identifier
1942584784
Registry record updated Oct 17, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Rehabilitation HospitalTaxonomy code 283X00000X
License
070034H Issued in IA
Legal business name
ALLEN MEMORIAL HOSPITAL CORPORATION
Doing business as
Allen Hospital
Practice address
1825 Logan Ave
Waterloo, IA 50703-1999
Phone
(319) 235-3606
NPI assigned
Sep 28, 2011
Last updated
Oct 17, 2013By the provider in NPPES
Organization subpart
Yes
Parent organization
ALLEN MEMORIAL HOSPITAL CORPORATIONAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Oct 17, 2013

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

Authorized official

Name
Renee A Rasmussen
Title
Cfo
Phone
(319) 235-3918

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Rehabilitation Hospital 283X00000X 070034H IA Primary

Addresses

Primary practice location

1825 Logan Ave
Waterloo, IA 50703-1999

Mailing address

1825 Logan Ave
Waterloo, IA 50703-1999
Phone (319) 235-3606

Other identifiers 1

IdentifierTypeStateIssuer
16T110OtherPTAN

Other names 1

  • Allen Hospital Doing business as

National Provider Directory

National Provider Directory
Part of
John M Zehr MD

Member organizations 1

Organizations listed as members of this organization in the National Provider Directory.

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1317168000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1381968000000",
    "number": "1942584784",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1825 LOGAN AVE",
            "city": "WATERLOO",
            "state": "IA",
            "postal_code": "507031999",
            "telephone_number": "319-235-3606"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1825 LOGAN AVE",
            "city": "WATERLOO",
            "state": "IA",
            "postal_code": "507031999",
            "telephone_number": "319-235-3606"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ALLEN MEMORIAL HOSPITAL CORPORATION",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "ALLEN MEMORIAL HOSPITAL CORPORATION",
        "enumeration_date": "2011-09-28",
        "last_updated": "2013-10-17",
        "status": "A",
        "authorized_official_last_name": "RASMUSSEN",
        "authorized_official_first_name": "RENEE",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "CFO",
        "authorized_official_telephone_number": "319-235-3918"
    },
    "taxonomies": [
        {
            "code": "283X00000X",
            "taxonomy_group": "",
            "desc": "Rehabilitation Hospital",
            "state": "IA",
            "license": "070034H",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PTAN",
            "identifier": "16T110",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Allen Hospital",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Waterloo, IA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 17, 2013; 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.