Organization Name: | CLARINDA REGIONAL HEALTH CENTER ER |
NPI Number: | 1477690519 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | ELAINE OTTE (COO) |
Mailing Address: | 220 Essie Davison Dr Clarinda |
State: | IA US |
Postal Code: | 516322915 |
Phone Number: | 7125422176 |
Fax Number: | |
NPI Enumeration Date: | 01/30/2007 |
NPI Last Update Date: | 05/21/2014 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 261QE0002X |
License Number: | |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | |
Taxonomy Type: | Ambulatory Health Care Facilities |
Taxonomy Classification: | Clinic/Center |
Taxonomy Specialization: | Emergency Care |
Taxonomy Definition: |