Organization
GUTTENBERG MUNICIPAL HOSPITAL
Active
Other names
GUTTENBERG HOSPITAL-PRACTITIONERS
Organization subpart
No
Provider details
NPI number
Authorized official
SUSAN STAGMAN RHIT (CREDENTIALING SPECIALIST)
(563) 252-1121
Entity
Organization
Contact information
Practice address
200 MAIN ST, GUTTENBERG, IA 52052
(563) 252-1121
(563) 252-3120
Mailing address
PO BOX 550, GUTTENBERG, IA 52052-0550
(563) 252-1121
(563) 252-3120
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
—
—
367500000X
Certified Registered Nurse Anesthetist
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0474429
—
IA
01
—
07244
WELLMARK-GSP
IA
01
—
21169
WELLMARK-CRNA
IA
01
—
5000126
UNITED HEALTHCARE
—
01
—
DH0857
MEDICARE RR-PALMETTO GBA
IA
Enumeration date
07/12/2006
Last updated
10/24/2024
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