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Organization
VIRGINIA GAY HOSPITAL, INC
Active
Organization
VIRGINIA GAY HOSPITAL, INC
Active
Other names
Van Horne Family Medical Clinic
Organization subpart
No
Provider details
NPI number
Authorized official
MICHAEL J RIEGE (ADMINISTRATOR)
(319) 472-6200
Entity
Organization
Contact information
Practice address
205 MAIN ST, VAN HORNE, IA 52346-9713
(319) 228-8000
Mailing address
205 MAIN ST, VAN HORNE, IA 52346-9713
(319) 228-8000
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
—
NULL
207Q00000X
Family Medicine Physician
—
—
261QR1300X
Rural Health Clinic/Center
Primary
—
NULL
Other
Enumeration date
06/13/2006
Last updated
09/22/2016
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