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Organization
WAYNE COUNTY HOSPITAL
Active
Organization
WAYNE COUNTY HOSPITAL
Active
Other names
South Central Iowa Medical Clinic
Organization subpart
No
Provider details
NPI number
Authorized official
DAREN L RELPH (CHIEF EXECUTIVE OFFICER)
(641) 872-2260
Entity
Organization
Contact information
Practice address
417 S EAST ST, SUITE 100, CORYDON, IA 50060-1860
(641) 872-2063
(641) 872-2070
Mailing address
PO BOX 305, CORYDON, IA 50060-0305
(641) 872-5351
(641) 872-3116
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
—
NULL
207Q00000X
Family Medicine Physician
—
—
261QR1300X
Rural Health Clinic/Center
Primary
—
NULL
363A00000X
Physician Assistant
—
NULL
363A00000X
Physician Assistant
—
—
363LF0000X
Family Nurse Practitioner
—
NULL
363LF0000X
Family Nurse Practitioner
—
—
367A00000X
Advanced Practice Midwife
—
NULL
367A00000X
Advanced Practice Midwife
—
—
Other
Enumeration date
03/21/2011
Last updated
11/21/2017
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