Organization
STORY COUNTY HOSPITAL
Active
Other names
Maxwell Medical Clinic
Organization subpart
No
Provider details
NPI number
Authorized official
JANE RAMTHUN (CFO)
(515) 382-2111
Entity
Organization
Contact information
Practice address
403 1ST ST, MAXWELL MEDICAL CLINIC, MAXWELL, IA 50161
(515) 387-8815
(515) 387-8817
Mailing address
403 1ST ST, MAXWELL, IA 50161-7700
(515) 387-8815
(515) 387-8817
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0255281
—
IA
01
—
48682
WELLMARK BCBS
IA
Enumeration date
02/08/2006
Last updated
01/26/2017
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