# PELLA REGIONAL HEALTH CENTER

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- **Entity:** Organization
- **Status:** Active
- **Parent organization:** PELLA REGIONAL HEALTH CENTER
- **Other names:** Sully Family Health Center
- **Organization subpart:** Yes

## Provider details

- **NPI number:** 1104860808
- **Legal business name:** PELLA REGIONAL HEALTH CENTER
- **Authorized official:** ROBERT D KROESE (CEO)
- **Authorized official phone:** (641) 628-6604

## Contact information

- **Practice address:** 704 3RD ST, SULLY, IA 50251-1016
- **Practice address phone:** (641) 594-3150
- **Practice address fax:** (641) 594-3795
- **Mailing address:** P.O. BOX 327, 704 3RD STREET,, SULLY, IA 50251
- **Mailing address phone:** (641) 594-3150
- **Mailing address fax:** (641) 594-3795

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QR1300X | Rural Health Clinic/Center | 630165H | IA | Yes |

## Other

- **Enumeration date:** 06/15/2006
- **Last updated:** 12/06/2022