Organization
BOONE COUNTY HOSPITAL
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MIKAELA KIENITZ (CEO)
(515) 432-3140
Entity
Organization
Contact information
Practice address
1015 UNION ST, BOONE, IA 50036-4821
(515) 433-8470
(515) 433-8905
Mailing address
1015 UNION ST, BOONE, IA 50036-4821
(515) 432-3140
(515) 433-8905
Taxonomy
Speciality
Code
Description
License number
State
282N00000X
General Acute Care Hospital
161372
IA
282NC0060X
Critical Access Hospital
Primary
080125H
IA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0043182
—
IA
05
—
0096636
—
IA
05
—
0600262
—
IA
05
—
0655712
—
IA
05
—
200659
—
IA
01
—
60026
BLUE CROSS BLUE SHIELD
—
Enumeration date
11/17/2005
Last updated
10/10/2023
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