OrganizationActive
Gypsum Creek Healthcare, Inc.
NPI 1104110642 · Skilled Nursing Facility · Fort Dodge, IA
Provider details
- NPI number
- 1104110642
- Entity type
- Organization
- Primary specialty
- Skilled Nursing FacilityNursing & Custodial Care Facilities
- Organization subpart
- No
- Authorized official
- Soon Burnam, Treasurer(949) 540-1249
Specialties & taxonomies
Nursing & Custodial Care Facilities
Profile Score
Detailed profile(81/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
15 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
728 14th Ave N
Fort Dodge, IA 50501-7016
Phone: (515) 576-7226
Fax: (515) 573-2865
Street-level locationGet directions
Mailing address
728 14th Ave N
Fort Dodge, IA 50501-7016
Other names (DBA / former)
- Doing business as
- Fort Dodge Health and Rehabilitation
- Doing business as
- Fort Dodge Health and Rehabilitation
Registry dates
- Enumerated
- 2011-06-01
- Last updated
- 2021-02-23
- Certified
- 2021-02-23
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.