Organization
LORING HOSPITAL
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. MICHAEL S KETCHAM (CEO)
(712) 662-7105
Entity
Organization
Contact information
Practice address
211 HIGHLAND AVE, SAC CITY, IA 50583-2424
(712) 662-7105
(712) 662-3297
Mailing address
211 HIGHLAND AVE, SAC CITY, IA 50583-2424
(712) 662-7105
(712) 662-3297
Taxonomy
Speciality
Code
Description
License number
State
282NC0060X
Critical Access Hospital
Primary
810135H
IA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
802298
—
IA
Enumeration date
01/09/2007
Last updated
08/22/2020
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