Organization
CRAWFORD COUNTY MEMORIAL HOSPITAL
Active
Parent organization
CRAWFORD COUNTY MEMORIAL HOSPITAL
Other names
CCMH Medical Clinic
Organization subpart
Yes
Provider details
NPI number
Legal business name
CRAWFORD COUNTY MEMORIAL HOSPITAL
Authorized official
ERIN C MUCK (PRESIDENT/CEO)
(712) 265-2506
Entity
Organization
Contact information
Practice address
100 MEDICAL PKWY, STE A & B, DENISON, IA 51442-2614
(712) 265-2700
(712) 263-1777
Mailing address
100 MEDICAL PKWY, STE A, DENISON, IA 51442-2614
(712) 265-2700
(712) 263-1777
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
—
—
208600000X
Surgery Physician
—
—
261QR1300X
Rural Health Clinic/Center
Primary
—
—
363L00000X
Nurse Practitioner
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0154542
—
IA
01
—
51356
WELLMARK
IA
Enumeration date
03/02/2006
Last updated
08/05/2024
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