Organization
KEOKUK AREA HOSPITAL
Active
Organization subpart
No
Provider details
NPI number
Authorized official
VICKIE SUE RENEAU (ADMINISTRATOR)
(319) 526-8772
Entity
Organization
Contact information
Practice address
1600 MORGAN ST, KEOKUK, IA 52632-3456
(319) 524-7150
(319) 526-8800
Mailing address
1600 MORGAN ST, KEOKUK, IA 52632-3456
(319) 524-7150
(319) 526-8800
Taxonomy
Speciality
Code
Description
License number
State
282N00000X
General Acute Care Hospital
Primary
560054H
IA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
010673903
—
MO
05
—
0192658
—
IA
05
—
0457267
—
IA
05
—
0600080
—
IA
05
—
100673904
—
MO
01
—
10IA420
BLUE CROSS
MO
01
—
48990
BLUE CROSS BLUE SHIELD
IA
01
—
60008
BLUE CROSS
IA
01
—
6T008
BLUE CROSS BLUE SHIELD
IA
01
—
821
BLUE CROSS
IL
01
—
A001203
CHAMPUS
IA
Enumeration date
12/02/2005
Last updated
09/07/2021
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