Organization Name: | SHELBY COUNTY CHRIS A. MYRTUE MEMORIAL HOSPITAL |
NPI Number: | 1346324175 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | MARK WOODRING (CEO) |
Mailing Address: | 1213 Garfield Ave Harlan |
State: | IA US |
Postal Code: | 515372057 |
Phone Number: | 7127555161 |
Fax Number: | 7127554312 |
NPI Enumeration Date: | 10/25/2006 |
NPI Last Update Date: | 08/31/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 282NC0060X |
License Number: | 103 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | IA |
Taxonomy Type: | Hospitals |
Taxonomy Classification: | General Acute Care Hospital |
Taxonomy Specialization: | Critical Access |
Taxonomy Definition: |