# STORY COUNTY HOSPITAL

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Nevada Medical Clinic
- **Organization subpart:** No

## Provider details

- **NPI number:** 1023080504
- **Authorized official:** MRS. KEMBERLEE S PACKER (CREDENTIALING SPECIALIST)
- **Authorized official phone:** (515) 382-7101

## Contact information

- **Practice address:** 640 S 19TH ST, NEVADA, IA 50201-2902
- **Practice address phone:** (515) 382-5413
- **Practice address fax:** (515) 382-7107
- **Mailing address:** 640 S 19TH ST, NEVADA, IA 50201-2902
- **Mailing address phone:** (515) 382-5413
- **Mailing address fax:** (515) 382-7107

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207Q00000X | Family Medicine Physician | — | NULL | Yes |
| 207Q00000X | Family Medicine Physician | — | — | Yes |

## Other

- **Enumeration date:** 02/07/2006
- **Last updated:** 02/10/2017