Provider Demographics
NPI:1568686236
Name:MARTIN HEALTH CENTER, INC.
Entity Type:Organization
Organization Name:MARTIN HEALTH CENTER, INC.
Other - Org Name:WESTERN HOME COMMUNITIES
Other - Org Type:Doing Business As
Authorized Official - Title/Position:CHEIF EXECUTIVE OFFICER
Authorized Official - Prefix:
Authorized Official - First Name:KRIS
Authorized Official - Middle Name:W
Authorized Official - Last Name:HANSEN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:319-277-2141
Mailing Address - Street 1:5307 CARAWAY LN
Mailing Address - Street 2:
Mailing Address - City:CEDAR FALLS
Mailing Address - State:IA
Mailing Address - Zip Code:50613-8172
Mailing Address - Country:US
Mailing Address - Phone:319-277-2141
Mailing Address - Fax:319-268-8338
Practice Address - Street 1:420 E 11TH ST
Practice Address - Street 2:
Practice Address - City:CEDAR FALLS
Practice Address - State:IA
Practice Address - Zip Code:50613-3364
Practice Address - Country:US
Practice Address - Phone:319-277-2141
Practice Address - Fax:319-268-8338
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-04-12
Last Update Date:2023-06-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes314000000XNursing & Custodial Care FacilitiesSkilled Nursing Facility
No313M00000XNursing & Custodial Care FacilitiesNursing Facility/Intermediate Care Facility
Provider Identifiers
StateIdentifier IDID TypeIssuer
IA0804245Medicaid
IA0804245Medicaid
IA165508Medicare Oscar/Certification