# PELLA REGIONAL HEALTH CENTER

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Prairie City Medical Clinic
- **Organization subpart:** No

## Provider details

- **NPI number:** 1497413637
- **Authorized official:** ROBERT D. KROESE (CEO)
- **Authorized official phone:** (641) 628-6604

## Contact information

- **Practice address:** 404 EAST 2ND STREET, PRAIRIE CITY, IA 50228-8829
- **Practice address phone:** (515) 994-2617
- **Practice address fax:** (515) 994-2365
- **Mailing address:** 404 EAST 2ND STREET, PRAIRIE CITY, IA 50228-8829
- **Mailing address phone:** (515) 994-2617
- **Mailing address fax:** (515) 994-2365

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QR1300X | Rural Health Clinic/Center | — | NULL | Yes |

## Other

- **Enumeration date:** 12/06/2021
- **Last updated:** 12/06/2022