Organization
LORING HOSPITAL
Active
Parent organization
LORING HOSPITAL
Organization subpart
Yes
Provider details
NPI number
Legal business name
LORING HOSPITAL
Authorized official
MATTHEW D JOHNSON (CEO)
(712) 662-7105
Entity
Organization
Contact information
Practice address
211 HIGHLAND AVE, SAC CITY, IA 50583-2416
(712) 662-7105
(712) 662-3297
Mailing address
211 HIGHLAND AVE, SAC CITY, IA 50583-2416
(712) 662-7105
(712) 662-3297
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
—
—
363L00000X
Nurse Practitioner
—
—
367500000X
Certified Registered Nurse Anesthetist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0135574
—
IA
01
—
30179
BCBS CRNA PROVIDER SERV
IA
Enumeration date
01/09/2007
Last updated
06/05/2023
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