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Organization

WAYNE COUNTY HOSPITAL

Active
Other names
Humeston Family Medical Clinic
Organization subpart
No

Provider details

NPI number
Authorized official
DAREN L RELPH (CEO)
(641) 872-2260
Entity
Organization

Contact information

Practice address
109 BROAD ST, HUMESTON, IA 50123-7736
(641) 877-6108
(641) 877-6123
Mailing address
PO BOX 305, CORYDON, IA 50060-0305
(641) 872-5341
(641) 872-3116

Taxonomy

Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
261QR1300X
Rural Health Clinic/Center
Primary
363LF0000X
Family Nurse Practitioner

Other

Enumeration date
05/13/2011
Last updated
12/06/2012
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