Organization Name: | WINNESHIEK MEDICAL CENTER |
NPI Number: | 1669893988 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | LYNN M. LULOFF (CFO) |
Mailing Address: | 112 East Main St. Ossian |
State: | IA US |
Postal Code: | 52101 |
Phone Number: | 5635329500 |
Fax Number: | 5635329599 |
NPI Enumeration Date: | 01/06/2014 |
NPI Last Update Date: | 01/22/2015 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 261QP2300X |
License Number: | 960127H |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | IA |
Taxonomy Type: | Ambulatory Health Care Facilities |
Taxonomy Classification: | Clinic/Center |
Taxonomy Specialization: | Primary Care |
Taxonomy Definition: |