Organization
GRINNELL REGIONAL MEDICAL CENTER
Active
Parent organization
GRINNELL REGIONAL MEDICAL CENTER
Other names
Grinnell Regional Hospice
Organization subpart
Yes
Provider details
NPI number
Legal business name
GRINNELL REGIONAL MEDICAL CENTER
Authorized official
KYLE M WILCOX (CFO)
(641) 236-2919
Entity
Organization
Contact information
Practice address
306 4TH AVE STE A, GRINNELL, IA 50112-1803
(641) 236-2418
(641) 236-2956
Mailing address
210 4TH AVE, GRINNELL, IA 50112-1898
(641) 236-2300
(641) 236-2995
Taxonomy
Speciality
Code
Description
License number
State
251G00000X
Community Based Hospice Care Agency
Primary
—
IA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0615419
—
IA
01
—
61541
WELLMARK
IA
Enumeration date
03/23/2006
Last updated
11/28/2017
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