Organization
GREATER REGIONAL MEDICAL CENTER
Active
Other names
Lenox Medical Clinic
Organization subpart
No
Provider details
NPI number
Authorized official
MR. MATTHEW L MCCUTCHAN (CFO)
(641) 782-3899
Entity
Organization
Contact information
Practice address
100 S MAIN ST, LENOX, IA 50851-1240
(641) 333-4545
(641) 333-4547
Mailing address
1700 W TOWNLINE ST, CRESTON, IA 50801-1054
(641) 782-7091
(641) 782-3830
Taxonomy
Speciality
Code
Description
License number
State
261QR1300X
Rural Health Clinic/Center
Primary
—
—
363LF0000X
Family Nurse Practitioner
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0634691
—
IA
Enumeration date
08/16/2006
Last updated
04/24/2013
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