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MARY GREELEY MEDICAL CENTER NPI 1366428179


NPI Information

NPI: 1366428179
Provider Name: MARY GREELEY MEDICAL CENTER
Classification: Hospice, Inpatient - 315D00000X
Entity Type: Organization

CLIA Number: 16D0382529

Address:
400 S DAKOTA AVE
AMES, IA
ZIP 50014
Phone: (515) 239-6730
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MARY GREELEY MEDICAL CENTER is a hospice inpatient in Ames, IA. The provider is a provider organization, or distinct part of the organization, which renders an interdisciplinary program providing palliative care, chiefly medical relief of pain and supporting services, which addresses the emotional, social, financial, and legal needs of terminally ill patients and their families where an institutional care environment is required for the patient. MARY GREELEY MEDICAL CENTER NPI is 1366428179. The provider is registered as an organization entity type.

The provider's business location address is:

400 S DAKOTA AVE
AMES, IA
ZIP 50014-775
Phone: (515) 239-6730

The provider's authorized official is Brian R Dieter .
The authorized official title is President And Ceo and has the following contact phone number (515) 239-2102.

The CLIA number assigned to this NPI record is 16D0382529 - home health agency with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 12/22/2005 and was last updated on 12/12/2008.


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 CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1315D00000XHospice, InpatientYes

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 IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
1161508MEDICARE OSCAR/CERTIFICATIONIOWA
20615088MEDICAIDIOWA

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: 4/28/2024

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