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Organization
GREATER REGIONAL MEDICAL CENTER
Active
Organization
GREATER REGIONAL MEDICAL CENTER
Active
Other names
MOUNT AYR COMMUNITY HEALTH CLINIC
Organization subpart
No
Provider details
NPI number
Authorized official
MATTHEW L MCCUTCHAN (CFO)
(641) 782-3899
Entity
Organization
Contact information
Practice address
120 S TAYLOR ST, MOUNT AYR, IA 50854-1829
(641) 464-8971
Mailing address
1700 W TOWNLINE ST, CRESTON, IA 50801-1054
(641) 782-7091
(641) 782-3830
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
—
NULL
207Q00000X
Family Medicine Physician
—
—
261QR1300X
Rural Health Clinic/Center
Primary
—
NULL
Other
Enumeration date
12/05/2017
Last updated
01/31/2019
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