# PELLA REGIONAL HEALTH CENTER

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

## Provider details

- **NPI number:** 1053369405
- **Authorized official:** ROBERT D KROESE (CEO)
- **Authorized official phone:** (641) 628-6604

## Contact information

- **Practice address:** 405 MONROE ST, PELLA, IA 50219-1189
- **Practice address phone:** (641) 628-3832
- **Practice address fax:** (641) 628-8894
- **Mailing address:** 405 MONROE ST, PELLA, IA 50219-1189
- **Mailing address phone:** (641) 628-3832
- **Mailing address fax:** (641) 628-8894

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207Q00000X | Family Medicine Physician | 630165H | IA | — |
| 207R00000X | Internal Medicine Physician | 630165H | IA | — |
| 261QM1300X | Multi-Specialty Clinic/Center | 630165H | IA | Yes |

## Other

- **Enumeration date:** 05/05/2006
- **Last updated:** 10/20/2014