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Organization

MASON CITY HEALTHCARE

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MRS. RACHEL RICHARDSON (ADMINISTRATOR)
(641) 423-3355
Entity
Organization

Contact information

Practice address
222 S PIERCE AVE, MASON CITY, IA 50401-2748
(641) 423-3355
(641) 423-7006
Mailing address
222 S PIERCE AVE, MASON CITY, IA 50401-2748
(641) 423-3355
(641) 423-7006

Taxonomy

Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
170364
IA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
0805200
IA
01
65139
BCBS PROV#
IA
Enumeration date
06/29/2005
Last updated
08/22/2020
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