Organization
MITCHELL COUNTY MEMORIAL HOSPITAL
Active
Other names
Mitchell County Regional Health Center
Organization subpart
No
Provider details
NPI number
Authorized official
MICHELE MARIE RUSSELL (CEO)
(641) 732-6003
Entity
Organization
Contact information
Practice address
616 N 8TH ST, OSAGE, IA 50461-1456
(641) 732-6000
(641) 732-6025
Mailing address
616 N 8TH ST, OSAGE, IA 50461-1456
(641) 732-6000
(641) 732-6025
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0133702
—
IA
01
—
42382
CRNA BCBS
IA
01
—
IA0100
CRNA JOHN DEERE
IA
Enumeration date
11/06/2006
Last updated
12/07/2020
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