Donnellson Health Center, Inc.

Primary specialty

Skilled Nursing FacilityTaxonomy code 314000000X

License

614 Issued in IA

Legal business name

DONNELLSON HEALTH CENTER, INC.

Practice address

901 State Street
Donnellson, IA 52625

Phone

(319) 835-5621

Fax

(319) 835-5053

NPI assigned

Jan 23, 2006

Last updated

Dec 21, 2009By 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

Wayne Marple

Title

Chief Financial Operator

Phone

(319) 372-4920

Specialties & licenses 1

Addresses

Other identifiers 1

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

{
    "created_epoch": "1137974400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1261353600000",
    "number": "1972573012",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "901 STATE STREET",
            "city": "DONNELLSON",
            "state": "IA",
            "postal_code": "52625",
            "telephone_number": "319-835-5621",
            "fax_number": "319-835-5053"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "901 STATE STREET",
            "city": "DONNELLSON",
            "state": "IA",
            "postal_code": "52625",
            "telephone_number": "319-835-5621",
            "fax_number": "319-835-5053"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DONNELLSON HEALTH CENTER, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-01-23",
        "last_updated": "2009-12-21",
        "status": "A",
        "authorized_official_last_name": "MARPLE",
        "authorized_official_first_name": "WAYNE",
        "authorized_official_title_or_position": "CHIEF FINANCIAL OPERATOR",
        "authorized_official_telephone_number": "319-372-4920"
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "IA",
            "license": "614",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0808378",
            "state": "IA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Heather Anderson
• Louis Robert Broadhurst
• Bette Lou Burke
• Central Lee C.S.D.
• Donnellson Chiropractic Clinic, PC
• Donnellson Healthcare and Rehabilitation Center LLC (Donnellson Health Center)
• Donnellson SNF Operator LLC
• Freedom Health LLC
• Lee County Auditor (Lee County EMS)
• Lee County EMS Ambulance, Inc.

• Skilled Nursing Facility in Donnellson, IA
• Providers in Donnellson, IA by specialty
• Skilled Nursing Facility in Iowa

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 21, 2009; 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.