| Organization Name: | CLARKE COUNTY PUBLIC HOSPITAL |
| NPI Number: | 1114954997 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | MICHAEL THOMAS THILGES (COO/CFP) |
| Mailing Address: | 800 S Fillmore St Osceola |
| State: | IA US |
| Postal Code: | 502131694 |
| Phone Number: | 6413422184 |
| Fax Number: | 6413425318 |
| NPI Enumeration Date: | 06/27/2006 |
| NPI Last Update Date: | 02/25/2011 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 282NC0060X |
| License Number: | 200012H |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | IA |
| Taxonomy Type: | Hospitals |
| Taxonomy Classification: | General Acute Care Hospital |
| Taxonomy Specialization: | Critical Access |
| Taxonomy Definition: | |