Organization
VIRGINIA GAY HOSPITAL, INC
Active
Parent organization
VIRGINIA GAY HOSPITAL
Other names
Vinton Family Medical Clinic
Organization subpart
Yes
Provider details
NPI number
Legal business name
VIRGINIA GAY HOSPITAL
Authorized official
MICHAEL J RIEGE (ADMINISTRATOR)
(319) 472-6200
Entity
Organization
Contact information
Practice address
504 N 9TH AVE, VINTON, IA 52349-2254
(319) 472-6300
Mailing address
504 N 9TH AVE, VINTON, IA 52349-2254
(319) 472-6300
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
—
—
261QR1300X
Rural Health Clinic/Center
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0144915
—
IA
Enumeration date
06/13/2006
Last updated
09/22/2016
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