Organization
PELLA REGIONAL HEALTH CENTER
Active
Parent organization
PELLA REGIONAL HEALTH CENTER
Other names
Sully Family Health Center
Organization subpart
Yes
Provider details
NPI number
Legal business name
PELLA REGIONAL HEALTH CENTER
Authorized official
ROBERT D KROESE (CEO)
(641) 628-6604
Entity
Organization
Contact information
Practice address
704 3RD ST, SULLY, IA 50251-1016
(641) 594-3150
(641) 594-3795
Mailing address
P.O. BOX 327, 704 3RD STREET,, SULLY, IA 50251
(641) 594-3150
(641) 594-3795
Taxonomy
Speciality
Code
Description
License number
State
261QR1300X
Rural Health Clinic/Center
Primary
630165H
IA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0634550
—
IA
Enumeration date
06/15/2006
Last updated
12/06/2022
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