Organization
DECATUR COUNTY HOSPITAL
Active
Other names
Decatur County Hospital- ER Group, Decatur County Hospital Professional Fees
Organization subpart
No
Provider details
NPI number
Authorized official
MICHAEL JOHNSTON (CEO)
(641) 446-4871
Entity
Organization
Contact information
Practice address
1405 NW CHURCH ST, LEON, IA 50144-1205
(641) 446-4871
Mailing address
1405 NW CHURCH ST, LEON, IA 50144-1266
(641) 446-4871
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
270089H
IA
207RX0202X
Medical Oncology Physician
Primary
—
—
208600000X
Surgery Physician
270089H
IA
363A00000X
Physician Assistant
270089H
IA
363L00000X
Nurse Practitioner
270089H
IA
367500000X
Certified Registered Nurse Anesthetist
270089H
IA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
51884
BC GROUP#
IA
05
—
6169912
—
IA
Enumeration date
05/16/2007
Last updated
01/25/2023
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