| 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 | Jeremy John Vande Zande |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1679589303 PECOS PAC ID: 4082613393 Enrollment ID: I20061214000518 |
| 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 | Jennie S Nuehring |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1598979163 PECOS PAC ID: 2668564378 Enrollment ID: I20070827000431 |
| 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 | David J Clark |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1609890607 PECOS PAC ID: 6507830809 Enrollment ID: I20100827000712 |
| Provider Name | Christine K Vitzthum |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1952682395 PECOS PAC ID: 5092987248 Enrollment ID: I20111011000683 |
| Provider Name | Brittany Janssen |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1215378211 PECOS PAC ID: 8426291741 Enrollment ID: I20140721001658 |
| 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 | Chassidy A Ruby |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1528449881 PECOS PAC ID: 1850606294 Enrollment ID: I20150814012813 |
| Provider Name | Mindy K Royster |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1174987341 PECOS PAC ID: 7719278951 Enrollment ID: I20160620001537 |
| Provider Name | Danny Lewis |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1235580366 PECOS PAC ID: 2668765132 Enrollment ID: I20170914000602 |
| 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 | 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 | 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 | Emily Anderson |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1023604899 PECOS PAC ID: 8729437090 Enrollment ID: I20231212001671 |
| 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 |
| Provider Name | William G Gossman |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1053385815 PECOS PAC ID: 4880636331 Enrollment ID: I20241021003597 |
| Provider Name | Candace Trenary |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1629644166 PECOS PAC ID: 8224552427 Enrollment ID: I20250409002061 |
Heart Of Play Llc Mental Health Clinic Medicare: Medicare Enrolled Practice Location: 1721 Elmhurst Ave, Humboldt, IA 50548 Phone: 515-450-2583 Fax: 515-420-8303 | |
North Central Iowa Mental Health Center, Inc 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 | |
North Central Iowa Mental Health Center Inc 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 | |
North Central Iowa Mental Health Center, Inc 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 | |
North Central Iowa Mental Health Center, Inc 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 |