# BUENA VISTA REGIONAL MEDICAL CENTER

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- **Entity:** Organization
- **Status:** Active
- **Parent organization:** BUENA VISTA REGIONAL MEDICAL CENTER
- **Other names:** Buena Vista Regional Medical Center Homecare
- **Organization subpart:** Yes

## Provider details

- **NPI number:** 1043269780
- **Legal business name:** BUENA VISTA REGIONAL MEDICAL CENTER
- **Authorized official:** MRS. KRISTA L KETCHAM (CFO)
- **Authorized official phone:** (712) 213-1233

## Contact information

- **Practice address:** 1305 W MILWAUKEE AVE, STORM LAKE, IA 50588-2904
- **Practice address phone:** (712) 749-2741
- **Practice address fax:** (712) 749-2750
- **Mailing address:** PO BOX 309, STORM LAKE, IA 50588-0309
- **Mailing address phone:** (712) 732-4030
- **Mailing address fax:** (712) 213-1233

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 251E00000X | Home Health Agency | — | IA | Yes |

## Other

- **Enumeration date:** 05/09/2006
- **Last updated:** 07/08/2011