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Organization
CRAWFORD COUNTY MEMORIAL HOSPITAL
Active
Organization
CRAWFORD COUNTY MEMORIAL HOSPITAL
Active
Parent organization
CRAWFORD COUNTY MEMORIAL HOSPITAL
Other names
CCMH Medical Clinic
Organization subpart
Yes
Provider details
NPI number
Legal business name
CRAWFORD COUNTY MEMORIAL HOSPITAL
Authorized official
NANCY J. CARLSON (CHIEF FINANCIAL OFFICER)
(712) 265-2505
Entity
Organization
Contact information
Practice address
100 MEDICAL PKWY, SUITE A, DENISON, IA 51442-2607
(712) 265-2700
(712) 263-1777
Mailing address
100 MEDICAL PKWY, SUITE A, DENISON, IA 51442-2607
(712) 265-2700
(712) 263-1777
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
NULL
207Q00000X
Family Medicine Physician
Primary
—
—
363A00000X
Physician Assistant
—
NULL
363A00000X
Physician Assistant
—
—
363L00000X
Nurse Practitioner
—
NULL
363L00000X
Nurse Practitioner
—
—
Other
Enumeration date
03/04/2008
Last updated
11/28/2011
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