Provider Demographics
NPI:1780751222
Name:OSCEOLA COMMUNITY HOSPITAL INC.
Entity type:Organization
Organization Name:OSCEOLA COMMUNITY HOSPITAL INC.
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:CFO
Authorized Official - Prefix:
Authorized Official - First Name:ANDREA
Authorized Official - Middle Name:R
Authorized Official - Last Name:JOHNSON
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:712-754-5353
Mailing Address - Street 1:600 9TH AVE N
Mailing Address - Street 2:
Mailing Address - City:SIBLEY
Mailing Address - State:IA
Mailing Address - Zip Code:51249-1012
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:600 9TH AVE N
Practice Address - Street 2:
Practice Address - City:SIBLEY
Practice Address - State:IA
Practice Address - Zip Code:51249-1012
Practice Address - Country:US
Practice Address - Phone:712-754-2574
Practice Address - Fax:712-754-3782
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-11-29
Last Update Date:2024-07-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IA282NC0060X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes282NC0060XHospitalsGeneral Acute Care HospitalCritical Access
Provider Identifiers
StateIdentifier IDID TypeIssuer
115937OtherCARE CHOICES HMO
60130OtherWELLMARK
IA0601302Medicaid
300786OtherU CARE
87726OtherUNITED HEALTHCARE
MN157247400Medicaid
5000135OtherMEDICA
52132OtherCORPORATE BENEFIT ADMINIS
01011823OtherPREFERRED ONE
26973OtherSIOUX VALLEY HEALTH PLAN
87964OtherARAZ GROUP
1468HOSOtherMN BLUE CROSS
300786OtherU CARE