# MEDIAPOLIS CARE FACILITY INC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1427119353
- **Authorized official:** RUSSELL RAY HUTCHINSON (ADMINISTRATOR OWNER)
- **Authorized official phone:** (319) 394-3432

## Contact information

- **Practice address:** 142 N ORCHARD, MEDIAPOLIS, IA 52637
- **Practice address phone:** (319) 394-3432
- **Practice address fax:** (319) 394-3732
- **Mailing address:** PO BOX 129, 142 N ORCHARD, MEDIAPOLIS, IA 52637
- **Mailing address phone:** (319) 394-3432
- **Mailing address fax:** (319) 394-3732

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 313M00000X | Nursing Facility/Intermediate Care Facility | R0360 | IA | Yes |

## Other

- **Enumeration date:** 12/13/2006
- **Last updated:** 07/03/2012

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 0894931 | — | IA |
| 01 | — | 2003358 | IOWA ACET | IA |