BUENA VISTA REGIONAL MEDICAL CENTER – NPI #1164593109
Emergency Medicine

An emergency medicine physician who specializes in non-hospital based emergency medical services (e.g., disaster site, accident scene, transport vehicle, etc.) to provide pre-hospital assessment, treatment, and transport patients.

BUENA VISTA REGIONAL MEDICAL CENTER is a provider located in STORM LAKE, IA. NPPES has assigned the NPI number 1164593109 to BUENA VISTA REGIONAL MEDICAL CENTER on November 13, 2006. It is a Type-2 NPI, indicating this NPI number is associated with an organization. BUENA VISTA REGIONAL MEDICAL CENTER is also known by the name ER PHYSICIAN GROUP. The primary taxonomy selected by this provider is 207PE0004X from the Health Care Provider Taxonomy code set, which is classified as Emergency Medicine, specializing in Emergency Medical Services

The NPI profile was previously updated about 15 years ago on Jul 08, 2011. Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for BUENA VISTA REGIONAL MEDICAL CENTER below.

NPI Profile for
BUENA VISTA REGIONAL MEDICAL CENTER

NPI Number
1164593109
Enumeration Date

(more than 19 years ago)
Entity Type
Type-2  Organization
Organization health care providers may have a single employee or thousands of employees. An example is an incorporated individual who is an organization's only employee.
Legal Name
BUENA VISTA REGIONAL MEDICAL CENTER
Other Name: ER PHYSICIAN GROUP
Primary location
1525 W 5TH ST
STORM LAKE, IA 50588-3027
Phone: (712) 732-4030 Fax: (712) 213-1233
Mailing address
Same as primary location
Organization Subpart
No
Authorized Official
KRISTA KETCHAM
CFO
Phone: (712) 213-8603
Updated
Identifiers

Identifiers for BUENA VISTA REGIONAL MEDICAL CENTER

Identifiers are used to associate other provider identifiers such as Medicaid or other insurers (ie:, Blue Cross, Blue Shield, Aetna, Kaiser-Permanente, etc.), with their NPI number. These identifiers can be used in matching an NPI number to an insurer's records. However, not all providers have such numbers and not all providers choose to include them in their NPI information.

DescriptionIssuerStateIdentifier
OTHERWELLMARK GROUP NUMBERIA12089
MEDICAIDIN0097956
Taxonomy Code(s)

A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.

Taxonomy Classification / Specialization State License
207PE0004X
- Emergency Medicine / Emergency Medical Services (Primary)
IA 166H

The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.