POCAHONTAS COMMUNITY HOSPITAL HOSPICE (POCAHONTAS COMMUNITY HOSPITAL) NPI 1922116607

Hospice Care, Community Based in Pocahontas, IA

NPI 1922116607 Organization Hospice Care, Community Based

About POCAHONTAS COMMUNITY HOSPITAL HOSPICE (POCAHONTAS COMMUNITY HOSPITAL)

Pocahontas Community Hospital Hospice (pocahontas Community Hospital) is a provider established in Pocahontas, Iowa specializing in hospice care, community based. The NPI number of Pocahontas Community Hospital Hospice (pocahontas Community Hospital) is 1922116607 and was assigned on August 2006. The practitioner's primary taxonomy code is 251G00000X. The provider is registered as an organization and their NPI record was last updated 10 years ago. The provider's is doing business as Pocahontas Community Hospital Hospice. The authorized official of this NPI record is Mr. James D. Roetman (Ceo)

NPI

1922116607

Provider NamePOCAHONTAS COMMUNITY HOSPITAL HOSPICE (POCAHONTAS COMMUNITY HOSPITAL)
Provider Location Address606 NW 7TH ST POCAHONTAS, IA 50574
Provider Mailing Address606 NW 7TH ST POCAHONTAS, IA 50574
NPI Entity TypeOrganization
Is Sole Proprietor?N/A
Is Organization Subpart?Yes
Other Organization NamePOCAHONTAS COMMUNITY HOSPITAL HOSPICE
Other Name TypeDoing Business As (3)
Enumeration Date08-25-2006
Last Update Date09-21-2012


Primary Taxonomy

Taxonomy Code251G00000X
ClassificationHospice Care, Community Based
TypeAgencies

Business Address

POCAHONTAS COMMUNITY HOSPITAL HOSPICE
606 NW 7TH ST
POCAHONTAS, IA
ZIP 50574
Phone: (712) 335-3430
Fax: (712) 335-4116

Get Directions


Mailing Address

POCAHONTAS COMMUNITY HOSPITAL HOSPICE
606 NW 7TH ST
POCAHONTAS, IA
ZIP 50574
Phone: (712) 335-3501
Fax: (712) 335-4116



Authorized Official

Authorized Official NameMR. JAMES D. ROETMAN
Authorized Official TitleCEO
Authorized Official Phone(712) 335-3501

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
161522MEDICARE OSCAR/CERTIFICATION (06)IA
61522OTHER (01)IA
0615229MEDICAID (05)IA

Other Providers at the same location


The following 8 providers are registered at the same or nearby location.

NPI Name / Type Taxonomy Address
1235247925POCAHONTAS COMMUNITY HOSPITAL
Organization
General Acute Care Hospital (Critical Access)606 NW 7TH ST
POCAHONTAS, IA 50574
(712) 335-3501
1013025790POCAHONTAS COMMUNITY HOSPITAL
Organization
Home Health606 NW 7TH ST
POCAHONTAS, IA 50574
(712) 335-3430
1346241213POCAHONTAS COMMUNITY HOSPITAL
Organization
General Acute Care Hospital (Critical Access)606 NW 7TH ST
POCAHONTAS, IA 50574
(712) 335-3501
1790893469POCAHONTAS COMMUNITY HOSPITAL
Organization
General Acute Care Hospital (Critical Access)606 NW 7TH ST
POCAHONTAS, IA 50574
(712) 335-3501
1588179949 MICHAEL SMART NP
Individual
Nurse Practitioner (Adult Health)606 NW 7TH ST
POCAHONTAS, IA 50574
(307) 660-7274
1972776912NORTH CENTRAL IOWA MENTAL HEALTH CENTER, INC
Organization
Clinic/Center (Mental Health (Including Community Mental Health Center))606 NW 7TH ST
POCAHONTAS, IA 50574
(800) 482-8305
1609989581POCAHONTAS COMMUNITY HOSPITAL
Organization
General Acute Care Hospital (Critical Access)606 NW 7TH ST
POCAHONTAS, IA 50574
(712) 335-3501
1053415125POCAHONTAS COMMUNITY HOSPITAL
Organization
Emergency Medicine606 NW 7TH ST
POCAHONTAS, IA 50574
(712) 335-3501

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
The code describing 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.