# WAYNE COUNTY HOSPITAL

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Hosp / Physician Group
- **Organization subpart:** No

## Provider details

- **NPI number:** 1740406776
- **Authorized official:** SUSAN P HENDERSON (ADMIN. SPECIAL PROJECTS)
- **Authorized official phone:** (641) 872-5341

## Contact information

- **Practice address:** 417 S EAST ST, CORYDON, IA 50060-1860
- **Practice address phone:** (641) 872-2260
- **Practice address fax:** (641) 872-3116
- **Mailing address:** PO BOX 305, CORYDON, IA 50060-0305
- **Mailing address phone:** (641) 872-2260
- **Mailing address fax:** (641) 872-3116

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207Q00000X | Family Medicine Physician | — | NULL | Yes |
| 207Q00000X | Family Medicine Physician | — | — | Yes |
| 363A00000X | Physician Assistant | — | NULL | — |
| 363A00000X | Physician Assistant | — | — | — |
| 363LF0000X | Family Nurse Practitioner | — | NULL | — |
| 363LF0000X | Family Nurse Practitioner | — | — | — |
| 367A00000X | Advanced Practice Midwife | — | NULL | — |
| 367A00000X | Advanced Practice Midwife | — | — | — |

## Other

- **Enumeration date:** 04/18/2007
- **Last updated:** 11/08/2011