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NPI 1053405803ActiveOrganization· Nursing Facility/Intermediate Care Facility· Dubuque, IA
Nursing Facility/Intermediate Care Facility in Dubuque, Iowa, registered in NPPES in October 2006. The authorized official on file is Glinda Lee Manternach, Administrator. Enrolled in Medicare as part a provider - skilled nursing facility.
Overview
| NPI | 1053405803 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Oct 3, 2006 |
| Last updated in NPPES | Oct 9, 2008 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Nursing Facility/Intermediate Care Facility Primary | 313M00000X | N-307 | IA |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Nov 10, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 11, 2026 | No match | — |
| New York OMIG · Nov 11, 2026 | No match | — |
| Ohio Medicaid · Nov 11, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 11, 2026 | No match | — |
| Washington HCA · Nov 11, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Part A Provider - Skilled Nursing Facility (IA) |
|---|
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