# CRAWFORD COUNTY MEMORIAL HOSPITAL

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

## Provider details

- **NPI number:** 1134586811
- **Legal business name:** CRAWFORD COUNTY MEMORIAL HOSPITAL
- **Authorized official:** MR. BILLY J BRUCE (CHIEF EXECUTIVE OFFICER)
- **Authorized official phone:** (712) 265-2502

## Contact information

- **Practice address:** 115 N 14TH ST, DENISON, IA 51442-1452
- **Practice address phone:** (712) 263-5071
- **Practice address fax:** (712) 263-6106
- **Mailing address:** 115 N 14TH ST, DENISON, IA 51442-1452
- **Mailing address phone:** (712) 263-5071
- **Mailing address fax:** (712) 263-6106

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 101YM0800X | Mental Health Counselor | — | NULL | — |
| 101YM0800X | Mental Health Counselor | — | — | — |
| 207Q00000X | Family Medicine Physician | — | NULL | — |
| 207Q00000X | Family Medicine Physician | — | — | — |
| 261QR1300X | Rural Health Clinic/Center | 240173H | IA | Yes |
| 364SF0001X | Family Health Clinical Nurse Specialist | — | NULL | — |
| 364SF0001X | Family Health Clinical Nurse Specialist | — | — | — |

## Other

- **Enumeration date:** 01/26/2016
- **Last updated:** 04/18/2017