Ida County Iowa Community Hospital

Primary specialty

Community Based Hospice Care AgencyTaxonomy code 251G00000X

License

470061H Issued in IA

Legal business name

IDA COUNTY IOWA COMMUNITY HOSPITAL

Practice address

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

Phone

(712) 364-3311

Fax

(712) 364-3363

NPI assigned

Jan 18, 2007

Organization subpart

No

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

Authorized official

Name

Joni G. Schumann

Title

Cfo

Phone

(712) 364-3311

Specialties & licenses 1

Addresses

Other identifiers 2

Other names 1

• Horn Memorial Hospital Doing business as

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

{
    "created_epoch": "1169078400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1615852800000",
    "number": "1972655843",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "701 E 2ND ST",
            "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",
            "city": "IDA GROVE",
            "state": "IA",
            "postal_code": "514451601",
            "telephone_number": "712-364-3311",
            "fax_number": "712-364-3363"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "IDA COUNTY IOWA COMMUNITY HOSPITAL",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-18",
        "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": "712-364-3311"
    },
    "taxonomies": [
        {
            "code": "251G00000X",
            "taxonomy_group": "",
            "desc": "Hospice Care, Community Based",
            "state": "IA",
            "license": "470061H",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS HOSPICE",
            "identifier": "61548",
            "state": "IA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0615484",
            "state": "IA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Horn Memorial Hospital",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Horn Memorial Hospital",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Ida County Iowa Community Hospital
• Ida County Iowa Community Hospital
• Ida County Iowa Community Hospital
• Ida County Iowa Community Hospital
• Ida County Iowa Community Hospital
• Ida County Iowa Community Hospital Inc
• Ida Family Chiropractic Incorporated
• Ida Grove Ambulance Service
• Ida Grove Family Health Center PLLC
• Stephanie Dawn Jacobson, RDN LD

• Community Based Hospice Care Agency in Ida Grove, IA
• Providers in Ida Grove, IA by specialty
• Community Based Hospice Care Agency in Iowa

• 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.