| Organization Name: | GREENE COUNTY MEDICAL CENTER |
| NPI Number: | 1073871471 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | MARK A VANDERLINDEN (CFO) |
| Mailing Address: | 1000 W Lincolnway St Jefferson |
| State: | IA US |
| Postal Code: | 501291645 |
| Phone Number: | 5153862114 |
| Fax Number: | 5153863695 |
| NPI Enumeration Date: | 04/24/2012 |
| NPI Last Update Date: | 06/08/2016 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 251K00000X |
| License Number: | |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | |
| Taxonomy Type: | Agencies |
| Taxonomy Classification: | Public Health or Welfare |
| Taxonomy Specialization: | |
| Taxonomy Definition: | |