Organization
DECATUR COUNTY HOSPITAL
Active
Organization
DECATUR COUNTY HOSPITAL
Active
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 50144-1266
(641) 446-4871
(641) 446-2201
Mailing address
1405 NW CHURCH ST, LEON, IA 50144-1266
(641) 446-4871
(641) 446-2201
Taxonomy
Speciality
Code
Description
License number
State
275N00000X
Medicare Defined Swing Bed Hospital Unit
Primary
270089H
IA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0655605
—
IA
01
—
66055
BLUE CROSS SNF
IA
Enumeration date
10/20/2006
Last updated
03/09/2021
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