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CCMH MEDICAL CLINIC
NPI 1104893700
Clinic/Center - Rural Health in Denison, IA

Active since March 02, 2006CLIA 16D0711119 · Microscopy
100 MEDICAL PKWY, STE A & B, DENISON, IA 51442(712) 265-2700(712) 263-1777 Get Directions Write a Review

NPPES record last updated: August 5, 2024. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Aug 5, 2024, Feb 17, 2023 (2 updates tracked since 2023).

About Ccmh Medical Clinic NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

CCMH MEDICAL CLINIC (NPI 1104893700) is a healthcare organization registered as a rural health in Denison, Iowa and active in the NPI registry since March 2006. The organization holds a CLIA Microscopy certificate valid through December 31, 2027 and lists Erin C Muck, President/ceo, as its authorized official.

NPPES Registry Identity

NPI1104893700
Entity TypeOrganization
Primary Taxonomy261QR1300X
Legal Business NameCRAWFORD COUNTY MEMORIAL HOSPITAL
Location Address100 MEDICAL PKWY, STE A & BDenison, IA 51442-2614
Mailing Address100 Medical Pkwy, Ste ADenison, IA 51442-2614 · (712) 265-2700 · Fax (712) 263-1777
Phone(712) 265-2700
Fax(712) 263-1777
Organization SubpartYes
Authorized OfficialErin C MuckPresident/ceo · (712) 265-2506
Enumeration DateMarch 2, 2006
Last NPPES UpdateAugust 5, 20242 updates tracked since enumeration
NPPES CertifiedAugust 5, 2024
✔ NPI 1104893700 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 4

★ Primary SpecialtyClinic/Center · Rural HealthAmbulatory Health Care Facilities
Taxonomy Code261QR1300X
Also ListedFamily MedicineTaxonomy 207Q00000X
Also ListedSurgeryTaxonomy 208600000X
Also ListedNurse PractitionerTaxonomy 363L00000X
100 MEDICAL PKWY, Denison, IA 51442
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Other Names 1

Doing Business AsCcmh Medical Clinic

Other Identifiers 2

Medicaid0154542IA
Other51356IA · Wellmark

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Home State Health, Ambetter from NH Healthy Families, Ambetter from Sunflower Health Plan and more.Insurance ›

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate for Provider-Performed Microscopy Procedures (PPMP) 16D0711119

Ccmh Medical Clinic · Denison, IA
Active · expires Dec 31, 2027
CLIA Number16D0711119
Laboratory TypeRural Health Clinic
Certificate Effective DateJanuary 1, 2026
Certificate Expiration DateDecember 31, 2027
Laboratory DirectorMichael P. Luft
Laboratory Phone(712) 265-2700
Laboratory LocationCcmh Medical Clinic100 Medical Parkway, Suite A & B, Denison, IA 51442
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory in which a physician, midlevel practitioner or dentist performs no tests other than the microscopy procedures. This certificate permits the laboratory to also perform waived tests.

Other Providers at the Same Location NPPES 16

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

DAVID J. WRIGHT D.O.
Surgery
100 MEDICAL PKWY, SUITE A
DENISON, IA 51442
Crawford County (712) 265-2700
CRAWFORD COUNTY MEMORIAL HOSPITAL
Family Medicine
100 MEDICAL PKWY, SUITE A
DENISON, IA 51442
Crawford County (712) 265-2700
MR. CHARLES REGINALD ELAM IV
Nurse Anesthetist, Certified Registered
100 MEDICAL PKWY
DENISON, IA 51442
Crawford County (712) 265-2683
SAMANTHA JEAN PAULEY ARNP
Nurse Practitioner (Family)
100 MEDICAL PKWY
DENISON, IA 51442
Crawford County (712) 269-9702
CRAWFORD COUNTY MEMORIAL HOSPITAL
Personal Emergency Response Attendant
100 MEDICAL PKWY
DENISON, IA 51442
Crawford County (712) 265-2500
ERIN LOUISE SCHECHINGER ARNP
Nurse Practitioner
100 MEDICAL PKWY
DENISON, IA 51442
Crawford County (712) 265-2500
KIAYA CONRAD PA-C
Physician Assistant
100 MEDICAL PKWY
DENISON, IA 51442
Crawford County (712) 265-2700
MACKLIN ALEXANDER CONRAD
Physician Assistant
100 MEDICAL PKWY
DENISON, IA 51442
Crawford County (712) 265-2700

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Crawford County Memorial Hospital's NPI number?

The NPI number for Crawford County Memorial Hospital is 1104893700. It was assigned to this organization in the NPPES registry on March 2, 2006. The provider is doing business as Ccmh Medical Clinic.

Where is Crawford County Memorial Hospital located?

Crawford County Memorial Hospital is located at 100 Medical Pkwy Ste A & B, Denison, IA 51442. The listed phone number is (712) 265-2700.

What is Crawford County Memorial Hospital's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Rural Health, with taxonomy code 261QR1300X.

Does Crawford County Memorial Hospital hold a CLIA laboratory certificate?

Yes. A Certificate for Provider-Performed Microscopy Procedures (PPMP) (number 16D0711119) is associated with this NPI, valid through December 31, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

What insurance does Crawford County Memorial Hospital accept?

Health plans from Ambetter Health, Ambetter Health of Delaware, Ambetter from Home State Health, Ambetter from NH Healthy Families and Ambetter from Sunflower Health Plan and 1 other insurer list Crawford County Memorial Hospital as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Crawford County Memorial Hospital was last updated on August 5, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.