# HUMBOLDT COUNTY MEMORIAL HOSPITAL

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- **Entity:** Organization
- **Status:** Active
- **Parent organization:** HUMBOLDT COUNTY MEMORIAL HOSPITAL
- **Organization subpart:** Yes

## Provider details

- **NPI number:** 1821170754
- **Legal business name:** HUMBOLDT COUNTY MEMORIAL HOSPITAL
- **Authorized official:** MS. HEATHER L. SHAULL (CFO)
- **Authorized official phone:** (515) 332-4200

## Contact information

- **Practice address:** 1000 15TH ST N, HUMBOLDT, IA 50548-1008
- **Practice address phone:** (515) 332-4200
- **Practice address fax:** (515) 332-4820
- **Mailing address:** 1000 15TH ST N, HUMBOLDT, IA 50548-1008
- **Mailing address phone:** (515) 332-4200
- **Mailing address fax:** (515) 332-4820

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 341600000X | Ambulance | 460155H | IA | Yes |

## Other

- **Enumeration date:** 10/19/2006
- **Last updated:** 07/02/2014

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 0065177 | — | IA |