Organization
MITCHELL COUNTY MEMORIAL HOSPITAL
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MICHELE RUSSELL (CEO)
(641) 732-6003
Entity
Organization
Contact information
Practice address
616 N 8TH ST, OSAGE, IA 50461-1456
(641) 732-6000
(641) 732-6025
Mailing address
616 N 8TH ST, OSAGE, IA 50461-1456
(641) 732-6000
(641) 732-6025
Taxonomy
Speciality
Code
Description
License number
State
282NC0060X
Critical Access Hospital
Primary
660175H
IA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0601088
—
IA
05
—
0655910
—
IA
01
—
60108
HOSPITAL-BCBS
IA
05
—
767247100
—
IA
Enumeration date
10/19/2006
Last updated
12/07/2020
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