Provider Demographics
NPI:1114269339
Name:BELMOND COMMUNITY HOSPITAL
Entity Type:Organization
Organization Name:BELMOND COMMUNITY HOSPITAL
Other - Org Name:HAMPTON CLINIC
Other - Org Type:Doing Business As
Authorized Official - Title/Position:CFO
Authorized Official - Prefix:
Authorized Official - First Name:AMY
Authorized Official - Middle Name:
Authorized Official - Last Name:MCDANIEL
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:641-444-5621
Mailing Address - Street 1:403 1ST ST SE
Mailing Address - Street 2:
Mailing Address - City:BELMOND
Mailing Address - State:IA
Mailing Address - Zip Code:50421-1201
Mailing Address - Country:US
Mailing Address - Phone:641-444-3500
Mailing Address - Fax:641-444-5554
Practice Address - Street 1:700 2ND ST SE
Practice Address - Street 2:SUITE 101
Practice Address - City:HAMPTON
Practice Address - State:IA
Practice Address - Zip Code:50441-2655
Practice Address - Country:US
Practice Address - Phone:641-812-1094
Practice Address - Fax:641-812-1096
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2013-03-26
Last Update Date:2020-01-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IA990169H261QR1300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QR1300XAmbulatory Health Care FacilitiesClinic/CenterRural Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
168559Medicare Oscar/Certification