Organization
GOOD SHEPHERD GERIATRIC CENTER INC
Active
Other names
Good Shepherd Health Center, Inc.
Organization subpart
No
Provider details
NPI number
Authorized official
MICHELLE HORST (CONTROLLER)
(641) 424-1740
Entity
Organization
Contact information
Practice address
302 2ND ST NE, MASON CITY, IA 50401-3412
(641) 424-1740
(641) 424-4260
Mailing address
302 2ND ST NE, PO BOX 1707, MASON CITY, IA 50401-3412
(641) 424-1740
(641) 424-4260
Taxonomy
Speciality
Code
Description
License number
State
103TA0700X
Adult Development & Aging Psychologist
—
—
314000000X
Skilled Nursing Facility
Primary
170219
IA
332B00000X
Durable Medical Equipment & Medical Supplies
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0801605
—
IA
01
—
260040326
RAILROAD MEDICARE
IA
01
—
47190
WELLMARK BLUE CROSS BLUE SHIELD OF IOWA
IA
05
—
6106872
—
IA
Enumeration date
11/30/2005
Last updated
08/28/2025
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