| Humboldt County Memorial Hospital | |
|
1000 15th St N Humboldt IA 50548-1008 | |
| (515) 332-4200 | |
| (515) 332-4820 |
| Full Name | Humboldt County Memorial Hospital |
|---|---|
| Speciality | Emergency Medicine |
| Location | 1000 15th St N, Humboldt, Iowa |
| Authorized Official Name and Position | Michelle Sleiter (CEO) |
| Authorized Official Contact | 5153324200 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Humboldt County Memorial Hospital 1000 15th St N Humboldt IA 50548-1008 Ph: (515) 332-4200 | Humboldt County Memorial Hospital 1000 15th St N Humboldt IA 50548-1008 Ph: (515) 332-4200 |
| NPI Number | 1043395247 |
|---|---|
| Provider Enumeration Date | 10/26/2006 |
| Last Update Date | 04/05/2019 |
| Medicare PECOS PAC ID | 8921997867 |
|---|---|
| Medicare Enrollment ID | O20040310001518 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1043395247 | NPI | - | NPPES |
| 0023713 | Medicaid | IA | |
| 02371 | Other | IA | BLUE CROSS PROF |
| Provider Name | Emile C Li |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1285687418 PECOS PAC ID: 3173434750 Enrollment ID: I20040324000726 |
| Provider Name | Michael D Gross |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1609987890 PECOS PAC ID: 0547253726 Enrollment ID: I20040405000774 |
| Provider Name | Alex G Kazos |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1942261318 PECOS PAC ID: 8820055155 Enrollment ID: I20060425000332 |
| Provider Name | Jeremy John Vande Zande |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1679589303 PECOS PAC ID: 4082613393 Enrollment ID: I20061214000518 |
| Provider Name | Leann M Rider-hildreth |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1245298116 PECOS PAC ID: 6406958917 Enrollment ID: I20070306000026 |
| Provider Name | Mary L Lamar |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1134326952 PECOS PAC ID: 7012008022 Enrollment ID: I20070806000508 |
| Provider Name | Lucas J Brinkman |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1811003031 PECOS PAC ID: 0446341887 Enrollment ID: I20070814000431 |
| Provider Name | David L Ruzicka |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1629069786 PECOS PAC ID: 6002724309 Enrollment ID: I20080908000465 |
| Provider Name | Joseph J Cookman |
|---|---|
| Provider Type | Practitioner - Interventional Cardiology |
| Provider Identifiers | NPI Number: 1376525535 PECOS PAC ID: 4385780139 Enrollment ID: I20091007000763 |
| Provider Name | Edward G Nassif |
|---|---|
| Provider Type | Practitioner - Allergy/immunology |
| Provider Identifiers | NPI Number: 1295726255 PECOS PAC ID: 9537259247 Enrollment ID: I20091118000569 |
| Provider Name | Mark D Hartman |
|---|---|
| Provider Type | Practitioner - Podiatry |
| Provider Identifiers | NPI Number: 1801868252 PECOS PAC ID: 8426192691 Enrollment ID: I20100225000854 |
| Provider Name | Kenneth W Adams |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1669443230 PECOS PAC ID: 8426014192 Enrollment ID: I20100306000240 |
| Provider Name | Amy E Faga |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1992776389 PECOS PAC ID: 5597800144 Enrollment ID: I20100306000277 |
| Provider Name | Dustin Smith |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1134191018 PECOS PAC ID: 2961554787 Enrollment ID: I20100308000112 |
| Provider Name | Francisco G Peralta |
|---|---|
| Provider Type | Practitioner - Allergy/immunology |
| Provider Identifiers | NPI Number: 1033181359 PECOS PAC ID: 7911033170 Enrollment ID: I20100327000280 |
| Provider Name | Scott Daniel Murray |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1457435760 PECOS PAC ID: 4183751126 Enrollment ID: I20100422000455 |
| Provider Name | Eric Timothy Hogan |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1144343435 PECOS PAC ID: 5193894301 Enrollment ID: I20101022000760 |
| Provider Name | Christine K Vitzthum |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1952682395 PECOS PAC ID: 5092987248 Enrollment ID: I20111011000683 |
| Provider Name | April M Wagner |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1689950453 PECOS PAC ID: 6002073764 Enrollment ID: I20120208000053 |
| Provider Name | Abena A Krow-rodney |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1639308737 PECOS PAC ID: 2466608682 Enrollment ID: I20120803000269 |
| Provider Name | Amanda J Thul |
|---|---|
| Provider Type | Practitioner - Registered Dietitian Or Nutrition Professional |
| Provider Identifiers | NPI Number: 1346685443 PECOS PAC ID: 4183868730 Enrollment ID: I20130920000273 |
| Provider Name | Lee R Bules |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1427015320 PECOS PAC ID: 9739243916 Enrollment ID: I20140218001335 |
| Provider Name | Said Sana |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1679869952 PECOS PAC ID: 1254593973 Enrollment ID: I20140311001278 |
| Provider Name | Mackenzie T Worthington |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1467893461 PECOS PAC ID: 9133362577 Enrollment ID: I20140815000047 |
| Provider Name | Erin Alene Peterson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1376959502 PECOS PAC ID: 2567689557 Enrollment ID: I20140815000126 |
| Provider Name | Morgan R Lyons |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1689082976 PECOS PAC ID: 1355561119 Enrollment ID: I20140930002141 |
| Provider Name | Matthew J Abendroth |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1972918894 PECOS PAC ID: 1658590807 Enrollment ID: I20150806012078 |
| Provider Name | Tu Anh Thi Luong |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1528320991 PECOS PAC ID: 2567603830 Enrollment ID: I20150813010406 |
| Provider Name | Chassidy A Ruby |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1528449881 PECOS PAC ID: 1850606294 Enrollment ID: I20150814012813 |
| Provider Name | Inder Paul Singh |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1235260696 PECOS PAC ID: 0840378550 Enrollment ID: I20160408000499 |
| Provider Name | Ryan Luong |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1225320583 PECOS PAC ID: 0941449771 Enrollment ID: I20160525002335 |
| Provider Name | Mindy K Royster |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1174987341 PECOS PAC ID: 7719278951 Enrollment ID: I20160620001537 |
| Provider Name | Lyndle D Shelby |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1407294630 PECOS PAC ID: 7214171644 Enrollment ID: I20160826000278 |
| Provider Name | John Michael S Chua Chiaco |
|---|---|
| Provider Type | Practitioner - Interventional Cardiology |
| Provider Identifiers | NPI Number: 1629234406 PECOS PAC ID: 0648583443 Enrollment ID: I20170127001035 |
| Provider Name | Amer G Qazi |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1720050560 PECOS PAC ID: 3375437510 Enrollment ID: I20170228000840 |
| Provider Name | Alexander M Hubbell |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1508209842 PECOS PAC ID: 1052633047 Enrollment ID: I20170707002232 |
| Provider Name | John G Armstrong |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1487948824 PECOS PAC ID: 8820222508 Enrollment ID: I20170824003359 |
| Provider Name | Danny Lewis |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1235580366 PECOS PAC ID: 2668765132 Enrollment ID: I20170914000602 |
| Provider Name | Kevin T Hanigan |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1972980902 PECOS PAC ID: 4587959341 Enrollment ID: I20180419001911 |
| Provider Name | Sumit Sehgal |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1083956502 PECOS PAC ID: 3274755152 Enrollment ID: I20190711002481 |
| Provider Name | Brian L Hamm |
|---|---|
| Provider Type | Practitioner - Podiatry |
| Provider Identifiers | NPI Number: 1235101619 PECOS PAC ID: 8921173535 Enrollment ID: I20191028000103 |
| Provider Name | Nicole R Lee |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1851852826 PECOS PAC ID: 4688906423 Enrollment ID: I20191029001795 |
| Provider Name | Bethany J Woods |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1356982441 PECOS PAC ID: 9931531464 Enrollment ID: I20191121000510 |
| Provider Name | Atabak Asvadi Kermani |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1407383870 PECOS PAC ID: 4880963842 Enrollment ID: I20191217000966 |
| Provider Name | Mohamed Humad |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1902326499 PECOS PAC ID: 0648549501 Enrollment ID: I20200221000402 |
| Provider Name | Benjamin J Paul |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1023544707 PECOS PAC ID: 1850661141 Enrollment ID: I20201005002627 |
| Provider Name | Nathan L Hensley |
|---|---|
| Provider Type | Practitioner - Podiatry |
| Provider Identifiers | NPI Number: 1265746556 PECOS PAC ID: 1850532029 Enrollment ID: I20201021003377 |
| Provider Name | Mackenzie L Carlson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1558953059 PECOS PAC ID: 4082020284 Enrollment ID: I20210315000540 |
| Provider Name | Nolan M Vitzthum |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1003265067 PECOS PAC ID: 5799022737 Enrollment ID: I20210420000529 |
| Provider Name | Stephanie A Gorsuch |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1942975578 PECOS PAC ID: 2668870734 Enrollment ID: I20211005001421 |
| Provider Name | Raza A Kazmi |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1548764962 PECOS PAC ID: 5890198485 Enrollment ID: I20220504000322 |
| Provider Name | Daniel A Olsen |
|---|---|
| Provider Type | Practitioner - Urology |
| Provider Identifiers | NPI Number: 1366973950 PECOS PAC ID: 1759653843 Enrollment ID: I20220806000182 |
| Provider Name | Brenda Seaman |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1578280921 PECOS PAC ID: 0143698365 Enrollment ID: I20221119000398 |
| Provider Name | Kasaiah Makam |
|---|---|
| Provider Type | Practitioner - Interventional Cardiology |
| Provider Identifiers | NPI Number: 1699087395 PECOS PAC ID: 4486898590 Enrollment ID: I20230824000424 |
| Provider Name | Pallavi Satuluri |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1376074302 PECOS PAC ID: 9739442039 Enrollment ID: I20230914002831 |
| Provider Name | Anthony A Wubben |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1851067458 PECOS PAC ID: 2961851969 Enrollment ID: I20231215003304 |
| Provider Name | Alycia Julia Wirtz |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1447846167 PECOS PAC ID: 5698125177 Enrollment ID: I20231226000097 |
Heart Of Play Llc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 1721 Elmhurst Ave, Humboldt, IA 50548 Phone: 515-450-2583 Fax: 515-420-8303 | |
Unitypoint Health-berryhill Center Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 1111 11th Ave N, Humboldt, IA 50548 Phone: 515-332-2623 Fax: 515-573-7898 | |
Sail Inc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 724 Sumner Ave, Humboldt, IA 50548 Phone: 712-660-0575 | |
Berryhill Center Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 21 Taft St N, Humboldt, IA 50548 Phone: 515-955-7171 Fax: 515-573-7898 | |
Unitypoint Health-berryhill Center Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 1000 15th St N, Humboldt, IA 50548 Phone: 800-482-8305 Fax: 515-573-7898 | |
Unitypoint Health-berryhill Center Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 1000 15th St N, Humboldt, IA 50548 Phone: 800-482-8305 Fax: 515-573-7898 |