| Organization Name: | SHELBY COUNTY CHRIS A. MYRTUE MEMORIAL HOSPITAL |
| NPI Number: | 1861597064 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | BARRY A JACOBSEN (CEO) |
| Mailing Address: | 1213 Garfield Ave Harlan |
| State: | IA US |
| Postal Code: | 515372057 |
| Phone Number: | 7127555161 |
| Fax Number: | 7127554312 |
| NPI Enumeration Date: | 09/13/2006 |
| NPI Last Update Date: | 03/18/2014 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 251K00000X |
| License Number: | 103 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | IA |
| Taxonomy Type: | Agencies |
| Taxonomy Classification: | Public Health or Welfare |
| Taxonomy Specialization: | |
| Taxonomy Definition: | |