Organization
STEWART MEMORIAL COMMUNITY HOSPITAL
Active
Parent organization
STEWART MEMORIAL COMMUNITY HOSPITAL
Other names
Stewart Memorial Clinic, McCrary-Rost Clinic
Organization subpart
Yes
Provider details
NPI number
Legal business name
STEWART MEMORIAL COMMUNITY HOSPITAL
Authorized official
JAMES L HENKENIUS (CFO)
(712) 464-4200
Entity
Organization
Contact information
Practice address
1301 W MAIN ST, LAKE CITY, IA 51449-1585
(712) 464-3171
(712) 464-3269
Mailing address
1301 W MAIN ST, LAKE CITY, IA 51449-1585
(712) 464-3171
(712) 464-3269
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
—
—
207Q00000X
Family Medicine Physician
Primary
—
IA
207R00000X
Internal Medicine Physician
—
—
207Y00000X
Otolaryngology Physician
—
—
208600000X
Surgery Physician
—
IA
363A00000X
Physician Assistant
—
IA
363L00000X
Nurse Practitioner
—
IA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0007880
—
IA
Enumeration date
02/12/2007
Last updated
08/05/2025
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