# GRINNELL REGIONAL MEDICAL CENTER

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- **Entity:** Organization
- **Status:** Active
- **Parent organization:** GRINNELL REGIONAL MEDICAL CENTER
- **Other names:** Grinnell Regional After Hours Clinic
- **Organization subpart:** Yes

## Provider details

- **NPI number:** 1609129485
- **Legal business name:** GRINNELL REGIONAL MEDICAL CENTER
- **Authorized official:** TODD C. LINDEN (PRESIDENT & CEO)
- **Authorized official phone:** (641) 236-7511

## Contact information

- **Practice address:** 210 4TH AVE, GRINNELL, IA 50112-1898
- **Practice address phone:** (641) 236-7511
- **Practice address fax:** (641) 236-2403
- **Mailing address:** 210 4TH AVE, GRINNELL, IA 50112-1898
- **Mailing address phone:** (641) 236-7511
- **Mailing address fax:** (641) 236-2403

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207P00000X | Emergency Medicine Physician | — | NULL | — |
| 207P00000X | Emergency Medicine Physician | — | — | — |
| 207Q00000X | Family Medicine Physician | — | NULL | — |
| 207Q00000X | Family Medicine Physician | — | — | — |
| 261QU0200X | Urgent Care Clinic/Center | — | NULL | Yes |
| 363A00000X | Physician Assistant | — | NULL | — |
| 363A00000X | Physician Assistant | — | — | — |
| 363L00000X | Nurse Practitioner | — | NULL | — |
| 363L00000X | Nurse Practitioner | — | — | — |

## Other

- **Enumeration date:** 10/18/2012
- **Last updated:** 01/22/2015