# AUDUBON COUNTY MEMORIAL HOSPITAL

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

## Provider details

- **NPI number:** 1184888265
- **Legal business name:** AUDUBON COUNTY MEMORIAL HOSPITAL
- **Authorized official:** MR. THOMAS G SMITH (CFO/ADMINISTRATOR)
- **Authorized official phone:** (712) 563-5301

## Contact information

- **Practice address:** 107 S JEFFERSON ST, EXIRA, IA 50076-7726
- **Practice address phone:** (712) 268-5348
- **Practice address fax:** (712) 268-2145
- **Mailing address:** 515 PACIFIC AVE, AUDUBON, IA 50025-1056
- **Mailing address phone:** (712) 563-2611
- **Mailing address fax:** (712) 563-3078

## Taxonomy

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

## Other

- **Enumeration date:** 07/17/2008
- **Last updated:** 08/26/2008