# AUDUBON COUNTY MEMORIAL HOSPITAL

> Is this information incorrect? This page shows public data from NPPES. Update your record in NPPES and this page will update automatically within 7 days. [Update your NPPES record](https://nppes.cms.hhs.gov)

- **Entity:** Organization
- **Status:** Active
- **Parent organization:** AUDUBON COUNTY MEMORIAL HOSPITAL
- **Organization subpart:** Yes

## Provider details

- **NPI number:** 1568607661
- **Legal business name:** AUDUBON COUNTY MEMORIAL HOSPITAL
- **Authorized official:** MS. JOAN S FANCHER (CHIEF OPERATING OFFICER)
- **Authorized official phone:** (712) 563-2611

## Contact information

- **Practice address:** 107 S JEFFERSON ST, EXIRA, IA 50076-7726
- **Practice address phone:** (712) 268-5348
- **Practice address fax:** (712) 268-2145
- **Mailing address:** 515 PACIFIC AVE, AUDUBON, IA 50025-1056
- **Mailing address phone:** (712) 563-2611
- **Mailing address fax:** (712) 563-5298

## Taxonomy

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

## Other

- **Enumeration date:** 12/04/2008
- **Last updated:** 02/27/2018