Organization · Type 2 NPI

Gypsum Creek Healthcare, Inc.

Skilled Nursing Facility · Fort Dodge, IA

NPI number 1104110642 Active

Practice location

728 14th Ave N
Fort Dodge, IA 50501-7016

Fax (515) 573-2865

Specialties and licenses

Taxonomy	Code	License
Skilled Nursing Facility Primary	314000000X	None listed

Skilled Nursing Facility: (1) A skilled nursing facility is a facility or distinct part of an institution whose primary function is to provide medical, continuous nursing, and other health and social services to patients who are not in an acute phase of illness requiring services in a hospital, but who require primary restorative or skilled nursing services on an inpatient basis above the level of intermediate or custodial care in order to r…

4 other providers at this address

Other skilled nursing facility providers in Fort Dodge

See all in Fort Dodge →

NPI record

NPI: 1104110642
Entity type: Organization (Type 2)
Issued: Jun 1, 2011
Last updated: Feb 23, 2021
Status: Active

Other names

<unavail>
Fort Dodge Health and Rehabilitation · doing business as
Fort Dodge Health and Rehabilitation · doing business as

Authorized official

Ms. Soon Burnam
Treasurer
(949) 540-1249

Verify this record

This page mirrors the public NPPES file. For credentialing or billing, confirm it on the official CMS NPI Registry, and check the license with the state board.

Is this your record? How to update it.

About NPI 1104110642

Gypsum Creek Healthcare, Inc.'s National Provider Identifier is 1104110642, issued on Jun 1, 2011. The primary taxonomy on file is Skilled Nursing Facility (314000000X), and the practice location is in Fort Dodge, IA. The record was last updated on Feb 23, 2021.