Organization
SHENANDOAH MEDICAL CENTER
Active
Other names
Shenandoah Memorial Hospital
Organization subpart
No
Provider details
NPI number
Authorized official
KAREN S COLE (CEO)
(712) 246-1230
Entity
Organization
Contact information
Practice address
300 PERSHING AVE, SHENANDOAH, IA 51601-2355
(712) 246-1230
(712) 246-7357
Mailing address
300 PERSHING AVE, SHENANDOAH, IA 51601-2355
(712) 246-1230
(712) 246-7357
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
730065H
IA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0425025
—
IA
Enumeration date
12/21/2006
Last updated
09/28/2012
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