Organization Name: | SHENANDOAH MEDICAL CENTER |
NPI Number: | 1043375504 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | KAREN COLE (CEO) |
Mailing Address: | 300 Park Avenue Shenandoah |
State: | IA US |
Postal Code: | 516012355 |
Phone Number: | 7122461230 |
Fax Number: | 7122467357 |
NPI Enumeration Date: | 12/26/2006 |
NPI Last Update Date: | 05/31/2013 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 251G00000X |
License Number: | 730065H |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | IA |
Taxonomy Type: | Agencies |
Taxonomy Classification: | Hospice Care, Community Based |
Taxonomy Specialization: | |
Taxonomy Definition: |