Organization
SOUTHEAST IOWA REGIONAL MEDICAL CENTER, INC.
Active
Other names
Klein Center, Great River Klein Center, Great River Medical Center
Organization subpart
No
Provider details
NPI number
Authorized official
MICHAEL MCCOY (CEO)
(319) 768-3268
Entity
Organization
Contact information
Practice address
1307 S GEAR AVE, WEST BURLINGTON, IA 52655-1604
(319) 768-4600
Mailing address
1221 S GEAR AVE, WEST BURLINGTON, IA 52655-1679
Taxonomy
Speciality
Code
Description
License number
State
313M00000X
Nursing Facility/Intermediate Care Facility
—
—
314000000X
Skilled Nursing Facility
Primary
290147H
IA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0651109
—
IA
01
—
65110
SKILLED UNIT
IA
Enumeration date
01/10/2006
Last updated
10/18/2022
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