Organization
OTTUMWA REGIONAL HEALTH CENTER INC
Active
Other names
Emergency Practice Asso
Organization subpart
No
Provider details
NPI number
Authorized official
CHAD M WOLBERS (INTERIM CEO)
(641) 684-2300
Entity
Organization
Contact information
Practice address
1001 PENNSYLVANIA AVE, OTTUMWA, IA 52501-6427
(641) 682-7511
(641) 684-2363
Mailing address
1001 PENNSYLVANIA AVE, OTTUMWA, IA 52501-6427
(641) 682-7511
(641) 684-2363
Taxonomy
Speciality
Code
Description
License number
State
261QE0002X
Emergency Care Clinic/Center
Primary
—
IA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0241133
—
IA
01
—
24113
BLUE CROSS ER DR GROUP
IA
Enumeration date
07/12/2006
Last updated
08/20/2007
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