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Organization

WAYNE COUNTY HOSPITAL

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DAREN RELPH (CEO)
(641) 872-5258
Entity
Organization

Contact information

Practice address
417 S EAST ST, CORYDON, IA 50060-1860
(641) 872-2260
Mailing address
PO BOX 305, CORYDON, IA 50060-0305
(641) 872-2260

Taxonomy

Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
1160853
IA
01
40836
BLUE CROSS BLUE SHIELD
Enumeration date
02/27/2008
Last updated
11/22/2017
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