Organization
DECATUR COUNTY HOSPITAL
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MICHAEL JOHNSTON (CEO)
(641) 446-4871
Entity
Organization
Contact information
Practice address
1405 NW CHURCH ST, LEON, IA 50144-1267
(641) 446-4871
Mailing address
1405 NW CHURCH ST, LEON, IA 50144-1267
(641) 446-4871
Taxonomy
Speciality
Code
Description
License number
State
282NC0060X
Critical Access Hospital
Primary
270089H
IA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0600551
—
IA
01
—
60055
BLUE CROSS
IA
Enumeration date
01/17/2006
Last updated
03/09/2021
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