Organization Name: | AVERA HOLY FAMILY |
NPI Number: | 1891738365 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | MICHAEL L HALL (CEO) |
Mailing Address: | 826 N 8th St Estherville |
State: | IA US |
Postal Code: | 513341528 |
Phone Number: | 7123622631 |
Fax Number: | 7123622636 |
NPI Enumeration Date: | 06/13/2006 |
NPI Last Update Date: | 03/11/2011 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 282NC0060X |
License Number: | 320014H |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | IA |
Taxonomy Type: | Hospitals |
Taxonomy Classification: | General Acute Care Hospital |
Taxonomy Specialization: | Critical Access |
Taxonomy Definition: |