Organization
VIRGINIA GAY HOSPITAL, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MICHAEL J RIEGE (ADMINISTRATOR)
(319) 472-6200
Entity
Organization
Contact information
Practice address
502 N 9TH AVE, VINTON, IA 52349
(319) 472-6200
Mailing address
502 N 9TH AVE, VINTON, IA 52349
(319) 472-6200
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0175430
—
IA
01
—
17543
WELLMARK
IA
01
—
175430
WELLMARK
IA
Enumeration date
06/30/2006
Last updated
09/29/2008
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