# WAYNE COUNTY HOSPITAL

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Humeston Family Medical Clinic
- **Organization subpart:** No

## Provider details

- **NPI number:** 1275825838
- **Authorized official:** DAREN L RELPH (CEO)
- **Authorized official phone:** (641) 872-2260

## Contact information

- **Practice address:** 109 BROAD ST, HUMESTON, IA 50123-7736
- **Practice address phone:** (641) 877-6108
- **Practice address fax:** (641) 877-6123
- **Mailing address:** PO BOX 305, CORYDON, IA 50060-0305
- **Mailing address phone:** (641) 872-5341
- **Mailing address fax:** (641) 872-3116

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207Q00000X | Family Medicine Physician | — | NULL | — |
| 207Q00000X | Family Medicine Physician | — | — | — |
| 261QR1300X | Rural Health Clinic/Center | — | NULL | Yes |
| 363LF0000X | Family Nurse Practitioner | — | NULL | — |
| 363LF0000X | Family Nurse Practitioner | — | — | — |

## Other

- **Enumeration date:** 05/13/2011
- **Last updated:** 12/06/2012