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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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