| Organization Name: | HEGG MEMORIAL HOSPITAL |
| NPI Number: | 1952435893 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | GLENN ZEVENBERGEN (CEO) |
| Mailing Address: | 1202 21st Ave Rock Valley |
| State: | IA US |
| Postal Code: | 512471420 |
| Phone Number: | 7124768000 |
| Fax Number: | |
| NPI Enumeration Date: | 03/15/2007 |
| NPI Last Update Date: | 07/08/2007 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 2471C3402X |
| License Number: | 840049H |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | IA |
| Taxonomy Type: | Technologists, Technicians & Other Technical Service Providers |
| Taxonomy Classification: | Radiologic Technologist |
| Taxonomy Specialization: | Radiography |
| Taxonomy Definition: | |