# HAWARDEN REGIONAL HEALTHCARE CLINICS LLC

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

## Provider details

- **NPI number:** 1801060306
- **Authorized official:** JAYSON P PULLMAN (PRESIDENT)
- **Authorized official phone:** (712) 551-3103

## Contact information

- **Practice address:** 318 MAIN ST, IRETON, IA 51027-7794
- **Practice address phone:** (712) 278-1011
- **Practice address fax:** (712) 551-2691
- **Mailing address:** 1122 12TH ST, HAWARDEN, IA 51023-1900
- **Mailing address phone:** (712) 551-3400
- **Mailing address fax:** (712) 551-2691

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207Q00000X | Family Medicine Physician | — | NULL | Yes |
| 207Q00000X | Family Medicine Physician | — | — | Yes |
| 363LF0000X | Family Nurse Practitioner | — | NULL | — |
| 363LF0000X | Family Nurse Practitioner | — | — | — |

## Other

- **Enumeration date:** 04/15/2008
- **Last updated:** 07/24/2024