Organization
SOUTHEAST IOWA REGIONAL MEDICAL CENTER, INC.
Active
Organization
SOUTHEAST IOWA REGIONAL MEDICAL CENTER, INC.
Active
Other names
Southeast Iowa Regional Hospice, Great River Home Health and Hospice
Organization subpart
No
Provider details
NPI number
Authorized official
MICHAEL J MCCOY MD (CEO)
(319) 768-6268
Entity
Organization
Contact information
Practice address
1306 S WASHINGTON RD, WEST BURLINGTON, IA 52655-1703
(319) 768-3626
(319) 768-3633
Mailing address
PO BOX 668, WEST BURLINGTON, IA 52655-0668
(319) 768-3628
(319) 768-3633
Taxonomy
Speciality
Code
Description
License number
State
251G00000X
Community Based Hospice Care Agency
Primary
290147H
IA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
161567
COMMERCIAL
IA
01
—
61567
BCBS
IA
Enumeration date
06/08/2005
Last updated
09/09/2024
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