Organization
LUCAS COUNTY HEATLH CENTER
Active
Other names
Lucas County Health Center Surgical Group
Organization subpart
No
Provider details
NPI number
Authorized official
BRIAN S SIMS (CEO)
(641) 774-3000
Entity
Organization
Contact information
Practice address
1200 N 7TH ST, CHARITON, IA 50049-1210
(641) 774-3000
Mailing address
1200 N 7TH ST, CHARITON, IA 50049-1210
(641) 774-3000
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
I6951
MEDICARE PTAN
IA
Enumeration date
10/22/2014
Last updated
11/02/2015
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