Organization
GREATER REGIONAL MEDICAL CENTER
Active
Parent organization
GREATER REGIONAL MEDICAL CENTER
Other names
Greater Regional Home Care
Organization subpart
Yes
Provider details
NPI number
Legal business name
GREATER REGIONAL MEDICAL CENTER
Authorized official
MS. LOUANN SNODGRASS LISW (EXECUTIVE DIRECTOR)
(641) 782-3515
Entity
Organization
Contact information
Practice address
1715 W PRAIRIE ST, SUITE A, CRESTON, IA 50801-1325
(641) 782-3528
(641) 782-3541
Mailing address
1715 W PRAIRIE ST, SUITE A, CRESTON, IA 50801-1325
(641) 782-3528
(641) 782-3541
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
—
IA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0670653
—
IA
01
—
67065
HOME CARE BLUE CROSS
IA
01
—
F440
MIDLANDS CHOICE
IA
Enumeration date
06/22/2005
Last updated
02/28/2012
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