Organization Name: | BUENA VISTA REGIONAL MEDICAL CENTER |
NPI Number: | 1134191653 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | KRISTA L KETCHAM (CFO) |
Mailing Address: | 1525 W 5th St Storm Lake |
State: | IA US |
Postal Code: | 505883027 |
Phone Number: | 7127324030 |
Fax Number: | 7122131233 |
NPI Enumeration Date: | 02/07/2006 |
NPI Last Update Date: | 07/08/2011 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 282NC0060X |
License Number: | 110166H |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | IA |
Taxonomy Type: | Hospitals |
Taxonomy Classification: | General Acute Care Hospital |
Taxonomy Specialization: | Critical Access |
Taxonomy Definition: |