| Organization Name: | DEWITT ER PC SERVICES |
| NPI Number: | 1003801150 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | JEFFREY M. COOPER (CEO) |
| Mailing Address: | 1118 11th St De Witt |
| State: | IA US |
| Postal Code: | 527421235 |
| Phone Number: | 5636594200 |
| Fax Number: | |
| NPI Enumeration Date: | 09/14/2005 |
| NPI Last Update Date: | 04/20/2008 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 282NC0060X |
| License Number: | 230149H |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | IA |
| Taxonomy Type: | Hospitals |
| Taxonomy Classification: | General Acute Care Hospital |
| Taxonomy Specialization: | Critical Access |
| Taxonomy Definition: | |