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Organization

CRAWFORD COUNTY MEMORIAL HOSPITAL

Active
Parent organization
CRAWFORD COUNTY MEMORIAL HOSPITAL
Other names
Family Practice & Surgical Specialits
Organization subpart
Yes

Provider details

NPI number
Legal business name
CRAWFORD COUNTY MEMORIAL HOSPITAL
Authorized official
MARK H. RINEHARDT (ADMINISTRATOR/CEO)
(712) 263-1620
Entity
Organization

Contact information

Practice address
116 CEDAR ST, SCHLESWIG, IA 51461-4041
(712) 263-3672
Mailing address
116 CEDAR ST, SCHLESWIG, IA 51461-4041
(712) 263-3672

Taxonomy

Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
363A00000X
Physician Assistant
363L00000X
Nurse Practitioner

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
0154542
IA
01
52805
WELLMARK
IA
Enumeration date
03/04/2008
Last updated
03/04/2008
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