# GREATER REGIONAL MEDICAL CENTER

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- **Entity:** Organization
- **Status:** Active
- **Other names:** MOUNT AYR COMMUNITY HEALTH CLINIC
- **Organization subpart:** No

## Provider details

- **NPI number:** 1639684335
- **Authorized official:** MATTHEW L MCCUTCHAN (CFO)
- **Authorized official phone:** (641) 782-3899

## Contact information

- **Practice address:** 120 S TAYLOR ST, MOUNT AYR, IA 50854-1829
- **Practice address phone:** (641) 464-8971
- **Mailing address:** 1700 W TOWNLINE ST, CRESTON, IA 50801-1054
- **Mailing address phone:** (641) 782-7091
- **Mailing address fax:** (641) 782-3830

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207Q00000X | Family Medicine Physician | — | NULL | — |
| 207Q00000X | Family Medicine Physician | — | — | — |
| 261QR1300X | Rural Health Clinic/Center | — | NULL | Yes |

## Other

- **Enumeration date:** 12/05/2017
- **Last updated:** 01/31/2019