Organization
PALO ALTO COUNTY HOSPITAL
Active
Other names
FAMILY PRACTICE CLINIC-WEST BEND
Organization subpart
No
Provider details
NPI number
Authorized official
DESIREE A EINSWEILER (CEO)
(712) 852-5401
Entity
Organization
Contact information
Practice address
107 DIVISION ST, WEST BEND, IA 50597-0000
(515) 887-7891
(515) 887-7893
Mailing address
3201 1ST ST, EMMETSBURG, IA 50536-2516
(712) 852-5500
(712) 852-5409
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0257287
—
IA
01
—
48687
WELLMARK
IA
Enumeration date
08/12/2006
Last updated
12/03/2020
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