Organization Name: | STEWART MEMORIAL COMMUNITY HOSPITAL |
NPI Number: | 1063497188 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | JAMES L. HENKENIUS (CFO) |
Mailing Address: | 1301 W Main St Lake City |
State: | IA US |
Postal Code: | 514491585 |
Phone Number: | 7124643171 |
Fax Number: | 7124643269 |
NPI Enumeration Date: | 12/12/2005 |
NPI Last Update Date: | 12/11/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 282NC0060X |
License Number: | 130029H |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | IA |
Taxonomy Type: | Hospitals |
Taxonomy Classification: | General Acute Care Hospital |
Taxonomy Specialization: | Critical Access |
Taxonomy Definition: |