NPIMap

Organization Active NPI

Ida County Iowa Community Hospital

Doing business as Horn Physicians Clinic

  • Family Medicine Physician
  • Ida Grove, IA
National Provider Identifier
1962635615
Registry record updated Mar 16, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
Legal business name
IDA COUNTY IOWA COMMUNITY HOSPITAL
Doing business as
Horn Physicians Clinic
Practice address
700 E 2ND St
Suite 2
Ida Grove, IA 51445-1601
Phone
(712) 364-2514
NPI assigned
Aug 28, 2009
Last updated
Mar 16, 2021By the provider in NPPES
Organization subpart
Yes
Parent organization
IDA COUNTY IOWA COMMUNITY HOSPITALAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Mar 16, 2021

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

Authorized official

Name
Ms. Joni G. Schumann
Title
Cfo
Phone
(712) 364-7225

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207Q00000X Primary
Medical Physician AssistantGroup: 193200000X MULTI-SPECIALTY GROUP 363AM0700X
Family Nurse PractitionerGroup: 193200000X MULTI-SPECIALTY GROUP 363LF0000X

Addresses

Primary practice location

700 E 2ND St
Suite 2
Ida Grove, IA 51445-1601

Mailing address

701 East 2ND Street
Ida Grove, IA 51445-1699
Phone (712) 364-3311

Other names 1

  • Horn Physicians Clinic Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20040323001795 IA Part B Supplier - Clinic/Group Practice 9537070826 Receives reassigned benefits from 43 practitioners
2 other NPIs on this enrollment
This NPI is an additional NPI on the enrollment
Practice locations: Ida Grove, IA; Sioux City, IA

Other NPIs on the same Medicare enrollment 2

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

National Provider Directory

National Provider Directory
Part of
Ida County Ia Comm Hospital

Locations

700 E 2nd St
Ste 2
Ida Grove, IA 51445
Phone (712) 364-2514

520 Main St
Ste 336
Mapleton, IA 51034

Practitioners & affiliated clinicians

Practitioners 33

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.

View all 33

NPI Registry JSON

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

{
    "created_epoch": "1251417600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1615852800000",
    "number": "1962635615",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "701 EAST 2ND STREET",
            "city": "IDA GROVE",
            "state": "IA",
            "postal_code": "514451699",
            "telephone_number": "712-364-3311",
            "fax_number": "712-364-3363"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "700 E 2ND ST",
            "address_2": "SUITE 2",
            "city": "IDA GROVE",
            "state": "IA",
            "postal_code": "514451601",
            "telephone_number": "712-364-2514"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "IDA COUNTY IOWA COMMUNITY HOSPITAL",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "IDA COUNTY IOWA COMMUNITY HOSPITAL",
        "enumeration_date": "2009-08-28",
        "last_updated": "2021-03-16",
        "certification_date": "2021-03-16",
        "status": "A",
        "authorized_official_last_name": "SCHUMANN",
        "authorized_official_first_name": "JONI",
        "authorized_official_middle_name": "G.",
        "authorized_official_title_or_position": "CFO",
        "authorized_official_telephone_number": "712-364-7225",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "363AM0700X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Physician Assistant, Medical",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Nurse Practitioner, Family",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Horn Physicians Clinic",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Horn Physicians Clinic",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Ida Grove, IA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 16, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.