Organization Name: | WINNESHIEK MEDICAL CENTER |
NPI Number: | 1093857393 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | GRETCHEN M. DAHLEN (CAO) |
Mailing Address: | 901 Montgomery St Decorah |
State: | IA US |
Postal Code: | 521012325 |
Phone Number: | 5633822911 |
Fax Number: | |
NPI Enumeration Date: | 02/13/2007 |
NPI Last Update Date: | 08/27/2012 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 261QP2300X |
License Number: | 960127H |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | IA |
Taxonomy Type: | Ambulatory Health Care Facilities |
Taxonomy Classification: | Clinic/Center |
Taxonomy Specialization: | Primary Care |
Taxonomy Definition: |