# GREENE COUNTY MEDICAL CENTER

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1649378621
- **Authorized official:** MR. MARK A VANDERLINDEN (CFO)
- **Authorized official phone:** (515) 386-2114

## Contact information

- **Practice address:** 1000 W LINCOLNWAY ST, JEFFERSON, IA 50129-1645
- **Practice address phone:** (515) 386-2114
- **Practice address fax:** (515) 386-3695
- **Mailing address:** 1000 W LINCOLNWAY ST, JEFFERSON, IA 50129-1645
- **Mailing address phone:** (515) 386-2114
- **Mailing address fax:** (515) 386-3695

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 313M00000X | Nursing Facility/Intermediate Care Facility | 16E176 | IA | Yes |

## Other

- **Enumeration date:** 09/21/2006
- **Last updated:** 06/08/2016

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 0801696 | — | IA |