Organization
STEWART MEMORIAL COMMUNITY HOSPITAL
Active
Parent organization
STEWART MEMORIAL COMMUNITY HOSPITAL
Organization subpart
Yes
Provider details
NPI number
Legal business name
STEWART MEMORIAL COMMUNITY HOSPITAL
Authorized official
MR. 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
275N00000X
Medicare Defined Swing Bed Hospital Unit
Primary
130029H
IA
282NC0060X
Critical Access Hospital
130029H
IA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0655258
—
IA
Enumeration date
10/31/2006
Last updated
03/05/2024
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