Organization
DEWITT ER PC SERVICES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JEFFREY M. COOPER (CEO)
(563) 659-4200
Entity
Organization
Contact information
Practice address
1118 11TH ST, DE WITT, IA 52742-1235
(563) 659-4200
Mailing address
1118 11TH ST, DE WITT, IA 52742-1235
(563) 659-4200
Taxonomy
Speciality
Code
Description
License number
State
282NC0060X
Critical Access Hospital
Primary
230149H
IA
Other
Enumeration date
09/14/2005
Last updated
08/22/2020
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