# SOUTHEAST IOWA REGIONAL MEDICAL CENTER, INC.

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Great River Medical Center, Southeast Iowa Regional Medical Center
- **Organization subpart:** No

## Provider details

- **NPI number:** 1164433884
- **Authorized official:** JEREMY ALEXANDER (CEO)
- **Authorized official phone:** (319) 768-3280

## Contact information

- **Practice address:** 1221 S GEAR AVE, WEST BURLINGTON, IA 52655-1679
- **Practice address phone:** (319) 768-3626
- **Mailing address:** 1221 S GEAR AVE, WEST BURLINGTON, IA 52655-1679
- **Mailing address phone:** (319) 768-3626
- **Mailing address fax:** (319) 768-3633

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 208D00000X | General Practice Physician | — | — | Yes |

## Other

- **Enumeration date:** 08/10/2006
- **Last updated:** 09/16/2026

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 0121129 | — | IA |
| 01 | — | 35449 | BLUE CROSS | — |
| 01 | — | CH2540 | TRAVELERS MEDICARE | — |