SHENANDOAH MEDICAL CENTER NPI 1043375504

NPI Information

NPI: 1043375504
Provider Name: SHENANDOAH MEDICAL CENTER

Doing Business As: SMC HOME HEALTH AND HOSPICE

Classification: Hospice Care, Community Based - 251G00000X
Entity Type: Organization
Address:
300 PARK AVENUE
SHENANDOAH, IA
ZIP 51601
Phone: (712) 246-1230
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SHENANDOAH MEDICAL CENTER is a hospice care community based in Shenandoah, IA. SHENANDOAH MEDICAL CENTER NPI is 1043375504. The provider is registered as an organization entity type.
The provider Is Doing Business As Smc Home Health And Hospice.

The provider's business location address is:

300 PARK AVENUE
SHENANDOAH, IA
ZIP 51601-355
Phone: (712) 246-1230
Fax: (712) 246-7357

The provider's authorized official is Karen Cole .
The authorized official title is Ceo and has the following contact phone number (712) 246-1230.

The enumeration date for this NPI number is 12/26/2006 and was last updated on 5/31/2013.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	251G00000X	Hospice Care, Community Based		730065H	IOWA	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	161565	MEDICARE OSCAR/CERTIFICATION
2	0615732	MEDICAID	IOWA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

NPI Synchronization or Removal

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