# CRAWFORD COUNTY MEMORIAL HOSPITAL

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- **Entity:** Organization
- **Status:** Active
- **Parent organization:** CRAWFORD COUNTY MEMORIAL HOSPITAL
- **Other names:** CCMH Medical Clinic
- **Organization subpart:** Yes

## Provider details

- **NPI number:** 1104893700
- **Legal business name:** CRAWFORD COUNTY MEMORIAL HOSPITAL
- **Authorized official:** ERIN C MUCK (PRESIDENT/CEO)
- **Authorized official phone:** (712) 265-2506

## Contact information

- **Practice address:** 100 MEDICAL PKWY STE A, DENISON, IA 51442-2614
- **Practice address phone:** (712) 265-2700
- **Mailing address:** 100 MEDICAL PKWY, STE A, DENISON, IA 51442-2614
- **Mailing address phone:** (712) 265-2700
- **Mailing address fax:** (712) 263-1777

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207Q00000X | Family Medicine Physician | — | NULL | — |
| 207Q00000X | Family Medicine Physician | — | — | — |
| 208600000X | Surgery Physician | — | NULL | — |
| 208600000X | Surgery Physician | — | — | — |
| 261QR1300X | Rural Health Clinic/Center | — | NULL | Yes |
| 363L00000X | Nurse Practitioner | — | NULL | — |
| 363L00000X | Nurse Practitioner | — | — | — |

## Other

- **Enumeration date:** 03/02/2006
- **Last updated:** 08/18/2026