Organization
USA HEALTHCARE FORT DODGE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. STEPHANIE STEWART (BOOKKEEPER)
(515) 576-7226
Entity
Organization
Contact information
Practice address
728 14TH AVE N, FORT DODGE, IA 50501-7016
(515) 576-7226
(515) 573-2865
Mailing address
728 14TH AVE N, FORT DODGE, IA 50501-7016
(515) 576-7226
(515) 573-2865
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
940900
IA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0804906
—
IA
01
—
65156
BCBS PROV #
IA
Enumeration date
06/29/2005
Last updated
09/13/2007
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