HAWARDEN REGIONAL HEALTHCARE NPI 1841261104

General Acute Care Hospital (Critical Access) in Hawarden, IA

NPI 1841261104 Organization General Acute Care Hospital Critical Access CLIA Number 16D0385057 CLIA Certificate of Compliance

NPI Profile for HAWARDEN REGIONAL HEALTHCARE

Hawarden Regional Healthcare is a hospital serving the Hawarden, Iowa region. The facility is a general acute care hospital. The NPI number of this hospital is 1841261104 and was assigned on January 2006. The hospital's primary taxonomy code is 282NC0060X. The provider is registered as an organization and their NPI record was last updated 6 years ago. The authorized official of this NPI record is Mr. Jayson P Pullman (Ceo)

According to the Hospital Compare program data, Hawarden Regional Healthcare doesn't have an overall quality rating because there are too few measures or measure groups reported to calculate a star rating or measure group score. The hospital provides emergency services like acute medical care or trauma care.

The CLIA number of Hawarden Regional Healthcare is 16D0385057 registered as a "hospital" facility with a CLIA Certificate of Compliance. This CLIA certificate is issued to Hawarden Regional Healthcare after an inspection that finds the laboratory to be in compliance with all applicable CLIA requirements. This type of certificate is issued to laboratories that perform nonwaived (moderate and/or high complexity) testing.

NPI

1841261104

Provider NameHAWARDEN REGIONAL HEALTHCARE
Provider Location Address1111 11TH ST HAWARDEN, IA 51023
Provider Mailing Address1111 11TH ST HAWARDEN, IA 51023
NPI Entity TypeOrganization
Is Sole Proprietor?N/A
Is Organization Subpart?No
Enumeration Date01-26-2006
Last Update Date05-05-2016


Primary Taxonomy

Taxonomy Code282NC0060X
ClassificationGeneral Acute Care Hospital
TypeHospitals
SpecializationCritical Access
Taxonomy DescriptionDefinition to come.

Business Address

HAWARDEN REGIONAL HEALTHCARE
1111 11TH ST
HAWARDEN, IA
ZIP 51023
Phone: (712) 551-3100
Fax: (712) 551-3195

Get Directions


Mailing Address

HAWARDEN REGIONAL HEALTHCARE
1111 11TH ST
HAWARDEN, IA
ZIP 51023
Phone: (712) 551-3100
Fax: (712) 551-3195



Authorized Official

Authorized Official NameMR. JAYSON P PULLMAN
Authorized Official TitleCEO
Authorized Official Phone(712) 551-3103

Hospital Compare Information

Overall Quality Rating Overall Quality Rating
The overall rating is calculated by taking the weighted average of these group scores. If a hospital is missing a measure category or group, the weights are redistributed amongst the qualifying measure categories or groups.
Not Available - There are too few measures or measure groups reported to calculate a star rating or measure group score.
Hospital TypeCritical Access Hospitals - Government - Local
Emergency Services Emergency Services
Shows if the hospital provides emergency services like acute medical care or trauma care.
Yes
Mortality7 - The number of cases/patients is too few to report.
Safety of Care0 - The number of cases/patients is too few to report.
Readmission0
Patient Experience8 - Not Available
Effectiveness of CareNot Available - Not Available
Timeliness of CareNot Available - Results are not available for this reporting period.
Efficient use of Medical Imaging11 - Results are based on a shorter time period than required.

CLIA Information

The Clinical Laboratory Improvement Amendments (CLIA) of 1988 applies to facilities or sites that test human specimens for health assessment or to diagnose, prevent, or treat disease. The CLIA Program sets standards for clinical laboratory testing and issues certificates. The NPI / CLIA crosswalk information for the NPI number 1841261104 is:

CLIA Number16D0385057
Facility TypeHOSPITAL
Certificate TypeCertificate of Compliance

Additional Identifiers


Additional identifier(s) currently or formerly used as an identifier for the provider. The codes may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.

Identifier Type / Code Identifier State Identifier Issuer
0685032MEDICAID (05)IA
5520320MEDICAID (05)SD
0120320MEDICAID (05)SD
0135046MEDICAID (05)IA
0601344MEDICAID (05)IA
S100885MEDICARE PIN (08)SD
161311MEDICARE OSCAR/CERTIFICATION (06)IA
38497OTHER (01)IAWELLMARK BCBS
I14892MEDICARE PIN (08)IA
50940MEDICARE PIN (08)IA
0165126OTHER (01)IAELDERLY WAIVER

NPI Validation Check Digit Calculation


The following table explains step by step the NPI number validation process using the ISO standard Luhn algorithm.

Start with the original NPI number, the last digit is the check digit and is not used in the calculation.
1841261104
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
288146210
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 8 + 8 + 1 + 4 + 6 + 2 + 1 + 0 + 24 = 56
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit.
60 - 56 = 44

The NPI number 1841261104 is valid because the calculated check digit 4 using the Luhn validation algorithm matches the last digit of the original NPI number.

Other Providers at the same location


The following 12 providers are registered at the same or nearby location.

NPI Name / Type Taxonomy Address
1720280928COMMUNITY HOSP
Organization
General Acute Care Hospital (Critical Access)1111 11TH ST
HAWARDEN, IA 51023
(712) 551-3100
1790740884HAWARDEN REGIONAL HEALTHCARE
Organization
General Acute Care Hospital (Critical Access)1111 11TH ST
HAWARDEN, IA 51023
(712) 551-3112
1699157925 MICHAEL MAY DPT
Individual
Physical Therapist1111 11TH ST
HAWARDEN, IA 51023
(712) 551-3108
1316329683 DEBRA LEWISON PTA
Individual
Physical Therapy Assistant1111 11TH ST
HAWARDEN, IA 51023
(712) 551-3108
1699157883 COLLIN WIGGINS DPT
Individual
Physical Therapist1111 11TH ST
HAWARDEN, IA 51023
(712) 551-3108
1346623030 LINDSEY TUNTLAND DPT
Individual
Physical Therapist1111 11TH ST
HAWARDEN, IA 51023
(712) 551-3108
1053713636 BEAU E WADDELL MD
Individual
Family Medicine1111 11TH ST
HAWARDEN, IA 51023
(712) 551-3100
1922526771 LYNN KIOUS DPT
Individual
Physical Medicine & Rehabilitation1111 11TH ST
HAWARDEN, IA 51023
1326528886HAWARDEN REGIONAL HEALTHCARE
Organization
Nurse Anesthetist, Certified Registered1111 11TH ST
HAWARDEN, IA 51023
(712) 551-3100
1639724065 KAREN SUE KENNEDY ARNP
Individual
Nurse Practitioner (Family)1111 11TH ST
HAWARDEN, IA 51023
(712) 551-3100
1912522681 MOLLY M POST ARNP
Individual
Nurse Practitioner (Family)1111 11TH ST
HAWARDEN, IA 51023
(712) 551-3100
1669887733 NAOMI GRAVES PHARMD
Individual
Pharmacist1111 11TH ST
HAWARDEN, IA 51023
(712) 551-3100

NPI Footnotes

What is the National Provider Indentifier (NPI)?
The NPI is 10-position all-numeric identification number assigned by the NPPES to uniquely identify a health care provider.

Provider Location Address
The location address of the provider being identified. For providers with more than one physical location, this is the primary location. This address cannot include a Post Office box.

Provider Mailing Address
The mailing address of the provider being identified. This address may contain the same information as the provider location address.

Entity Type Code
Hawarden Regional Healthcare is registered as an entity type code: 2. The entity type code describes the type of health care provider that is being assigned an NPI. The entity type codes are:

  • 1 = Person: individual human being who furnishes health care.
  • 2 = Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)

What is a Subpart?
Subparts are the components and separate physical locations of organization health care providers. Subpart examples include:
Hospital components include outpatient departments, surgical centers, psychiatric units, and laboratories. These components are often separately licensed or certified by States and may exist at physical locations other than that of the hospital of which they are a component.

Provider Other Organization Name
The other organization name is the alternative last name by which the provider is or has been known (if an individual) or other name by which the organization provider is or has been known. The code identifying the type of other name. The provider other organization name codes are:
1 = former name;
2 = professional name;
3 = doing business as (d/b/ a) name;
4 = former legal business name; :
5 = other.

Provider Enumeration Date
The date the provider was assigned a unique identifier (assigned an NPI).

Last Update Date
The date that a NPI record was last updated or changed.

Primary Taxonomy Code
The primary taxonomy code defines the provider type, classification, and specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Authorized Official Name
The name of the person authorized to submit the NPI application or to officially change data for a health care provider.