| Organization Name: | PELLA REGIONAL HEALTH CENTER |
| NPI Number: | 1215979208 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | ROBERT D. KROESE (CHIEF EXECUTIVE OFFICER) |
| Mailing Address: | 505 Union St Pella |
| State: | IA US |
| Postal Code: | 502191719 |
| Phone Number: | 6416205050 |
| Fax Number: | 6416205080 |
| NPI Enumeration Date: | 06/12/2006 |
| NPI Last Update Date: | 03/02/2010 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 251G00000X |
| License Number: | 630165H |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | IA |
| Taxonomy Type: | Agencies |
| Taxonomy Classification: | Hospice Care, Community Based |
| Taxonomy Specialization: | |
| Taxonomy Definition: | |