# STEWART MEMORIAL COMMUNITY HOSPITAL

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- **Entity:** Organization
- **Status:** Active
- **Parent organization:** STEWART MEMORIAL COMMUNITY HOSPITAL
- **Other names:** Stewart Memorial Clinic, McCrary-Rost Clinic
- **Organization subpart:** Yes

## Provider details

- **NPI number:** 1013058924
- **Legal business name:** STEWART MEMORIAL COMMUNITY HOSPITAL
- **Authorized official:** JAMES L HENKENIUS (CFO)
- **Authorized official phone:** (712) 464-4200

## Contact information

- **Practice address:** 1301 W MAIN ST, LAKE CITY, IA 51449-1585
- **Practice address phone:** (712) 464-3171
- **Practice address fax:** (712) 464-3269
- **Mailing address:** 1301 W MAIN ST, LAKE CITY, IA 51449-1585
- **Mailing address phone:** (712) 464-3171
- **Mailing address fax:** (712) 464-3269

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 101YM0800X | Mental Health Counselor | — | NULL | — |
| 101YM0800X | Mental Health Counselor | — | — | — |
| 207Q00000X | Family Medicine Physician | — | IA | Yes |
| 207R00000X | Internal Medicine Physician | — | NULL | — |
| 207R00000X | Internal Medicine Physician | — | — | — |
| 207Y00000X | Otolaryngology Physician | — | NULL | — |
| 207Y00000X | Otolaryngology Physician | — | — | — |
| 208600000X | Surgery Physician | — | IA | — |
| 363A00000X | Physician Assistant | — | IA | — |
| 363L00000X | Nurse Practitioner | — | IA | — |

## Other

- **Enumeration date:** 02/12/2007
- **Last updated:** 08/05/2025