| Organization Name: | SHELBY COUNTY CHRIS A MYRTUE MEMORIAL HOSPITAL |
| NPI Number: | 1134225048 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | BARRY A. JACOBSEN (CEO) |
| Mailing Address: | 2712 12th St Harlan |
| State: | IA US |
| Postal Code: | 515372306 |
| Phone Number: | 7127554308 |
| Fax Number: | 7127554590 |
| NPI Enumeration Date: | 09/16/2006 |
| NPI Last Update Date: | 12/13/2010 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 251G00000X |
| License Number: | |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | |
| Taxonomy Type: | Agencies |
| Taxonomy Classification: | Hospice Care, Community Based |
| Taxonomy Specialization: | |
| Taxonomy Definition: | |