# MITCHELL COUNTY MEMORIAL HOSPITAL

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- **Entity:** Organization
- **Status:** Active
- **Other names:** ST ANSGAR CLINIC
- **Organization subpart:** No

## Provider details

- **NPI number:** 1518059138
- **Authorized official:** MICHELE RUSSELL (CEO)
- **Authorized official phone:** (641) 732-6003

## Contact information

- **Practice address:** 140 W 4TH ST, SUITE 1, SAINT ANSGAR, IA 50472-1352
- **Practice address phone:** (641) 736-4401
- **Practice address fax:** (641) 713-4977
- **Mailing address:** 616 N 8TH ST, OSAGE, IA 50461-1456
- **Mailing address phone:** (641) 732-6000
- **Mailing address fax:** (641) 732-6028

## Taxonomy

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

## Other

- **Enumeration date:** 09/29/2006
- **Last updated:** 12/07/2020