Organization
BUENA VISTA REGIONAL MEDICAL CENTER
Active
Parent organization
BUENA VISTA REGIONAL MEDICAL CENTER
Organization subpart
Yes
Provider details
NPI number
Legal business name
BUENA VISTA REGIONAL MEDICAL CENTER
Authorized official
MRS. KRISTA L KETCHAM (CFO)
(712) 213-8603
Entity
Organization
Contact information
Practice address
1525 W 5TH ST, STORM LAKE, IA 50588-3027
(712) 732-4030
(712) 213-1233
Mailing address
PO BOX 309, STORM LAKE, IA 50588-0309
(712) 732-4030
(712) 213-1233
Taxonomy
Speciality
Code
Description
License number
State
275N00000X
Medicare Defined Swing Bed Hospital Unit
Primary
110166H
IA
282NC0060X
Critical Access Hospital
110166H
IA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0655779
—
IA
01
—
660066
WELLMARK SWING BED
IA
Enumeration date
05/05/2006
Last updated
10/16/2013
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