# GRINNELL REGIONAL MEDICAL CENTER

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- **Entity:** Organization
- **Status:** Active
- **Parent organization:** GRINNELL REGIONAL MEDICAL CENTER
- **Other names:** Grinnell Regional FP
- **Organization subpart:** Yes

## Provider details

- **NPI number:** 1740500487
- **Legal business name:** GRINNELL REGIONAL MEDICAL CENTER
- **Authorized official:** TODD C. LINDEN (PRESIDENT & CEO)
- **Authorized official phone:** (641) 236-7511

## Contact information

- **Practice address:** 210 4TH AVE, GRINNELL, IA 50112-1898
- **Practice address phone:** (641) 236-2500
- **Practice address fax:** (641) 236-2907
- **Mailing address:** 210 4TH AVE, GRINNELL, IA 50112-1898
- **Mailing address phone:** (641) 236-2500
- **Mailing address fax:** (641) 236-2907

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207Q00000X | Family Medicine Physician | — | NULL | Yes |
| 207Q00000X | Family Medicine Physician | — | — | Yes |
| 207R00000X | Internal Medicine Physician | — | NULL | — |
| 207R00000X | Internal Medicine Physician | — | — | — |
| 363A00000X | Physician Assistant | — | NULL | — |
| 363A00000X | Physician Assistant | — | — | — |
| 363L00000X | Nurse Practitioner | — | NULL | — |
| 363L00000X | Nurse Practitioner | — | — | — |

## Other

- **Enumeration date:** 06/04/2010
- **Last updated:** 01/22/2015