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Organization
SHENANDOAH MEDICAL CENTER
Active
Organization
SHENANDOAH MEDICAL CENTER
Active
Other names
Shenandoah Physicians Clinic
Organization subpart
No
Provider details
NPI number
Authorized official
MATTHEW SELLS (CEO)
(712) 246-7160
Entity
Organization
Contact information
Practice address
1 JACK FOSTER DR, SHENANDOAH, IA 51601-4586
(712) 246-7240
(712) 246-7357
Mailing address
300 PERSHING AVE, PO BOX 380, SHENANDOAH, IA 51601-2355
(712) 246-7240
(712) 246-7357
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
730065H
IA
207R00000X
Internal Medicine Physician
730065H
IA
261QR1300X
Rural Health Clinic/Center
Primary
730065H
IA
Other
Enumeration date
10/04/2012
Last updated
07/28/2026
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