OrganizationActive
Buena Vista Regional Medical Center
NPI 1164593109 · Emergency Medical Services (Emergency Medicine) Physician · Storm Lake, IA
Provider details
- NPI number
- 1164593109
- Entity type
- Organization
- Primary specialty
- Emergency Medical Services (Emergency Medicine) PhysicianAllopathic & Osteopathic Physicians
- Organization subpart
- No
- Authorized official
- Krista Ketcham, Cfo(712) 213-8603
- License
- 166H (IA)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Profile Score
Detailed profile(90/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
19 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
1525 W 5th St
Storm Lake, IA 50588-3027
Phone: (712) 732-4030
Fax: (712) 213-1233
Street-level locationGet directions
Mailing address
1525 W 5th St
Storm Lake, IA 50588-3027
Other names (DBA / former)
- Other name
- Er Physician Group
Registry dates
- Enumerated
- 2006-11-13
- Last updated
- 2011-07-08
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.