BUENA VISTA REGIONAL MEDICAL CENTER – NPI #1780755728
Radiology

A radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease.

BUENA VISTA REGIONAL MEDICAL CENTER is a radiologist located in STORM LAKE, IA. NPPES has assigned the NPI number 1780755728 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 BUENA VISTA REGIONAL MEDICAL CENTER DEPT OF EKG. With multiple taxonomy codes selected, the primary taxonomy selected by this provider is 2085R0202X from the Health Care Provider Taxonomy code set, which is classified as Radiology, specializing in Diagnostic Radiology Please note, simply having a taxonomy code selected doesn't replace any credentialing or validation process that may be required by law.

The NPI profile was last updated on Dec 10, 2024. 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
1780755728
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: BUENA VISTA REGIONAL MEDICAL CENTER DEPT OF EKG
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
Certification Date
Dec 10, 2024

Note: NPPES allows providers to attest to the accuracy of their NPI data. When a provider request any change to the NPI record, they will be able to attest to their changed NPI data, resulting in an updated certification date.

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 NUMBERIA30564
medicaidIA0078782
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.

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.