# GREATER REGIONAL MEDICAL CENTER

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- **Entity:** Organization
- **Status:** Active
- **Other names:** GREENFIELD MEDICAL CLINIC
- **Organization subpart:** No

## Provider details

- **NPI number:** 1700564200
- **Authorized official:** MATTHEW L MCCUTCHAN (CFO)
- **Authorized official phone:** (641) 782-3899

## Contact information

- **Practice address:** 288 PUBLIC SQ, GREENFIELD, IA 50849-1264
- **Practice address phone:** (641) 782-7091
- **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 |
| 363A00000X | Physician Assistant | — | NULL | — |
| 363A00000X | Physician Assistant | — | — | — |
| 363L00000X | Nurse Practitioner | — | NULL | — |
| 363L00000X | Nurse Practitioner | — | — | — |

## Other

- **Enumeration date:** 07/06/2023
- **Last updated:** 07/06/2023
