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Organization
SOUTHEAST IOWA REGIONAL MEDICAL CENTER, INC.
Active
Organization
SOUTHEAST IOWA REGIONAL MEDICAL CENTER, INC.
Active
Other names
Great River Medical Center, Southeast Iowa Regional Medical Center
Organization subpart
No
Provider details
NPI number
Authorized official
JEREMY ALEXANDER (CEO)
(319) 768-3280
Entity
Organization
Contact information
Practice address
1221 S GEAR AVE, WEST BURLINGTON, IA 52655-1679
(319) 768-3626
Mailing address
1221 S GEAR AVE, WEST BURLINGTON, IA 52655-1679
(319) 768-3626
(319) 768-3633
Taxonomy
Speciality
Code
Description
License number
State
208D00000X
General Practice Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0121129
—
IA
01
—
35449
BLUE CROSS
—
01
—
CH2540
TRAVELERS MEDICARE
—
Enumeration date
08/10/2006
Last updated
09/16/2026
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