Organization
WAYNE COUNTY HOSPITAL
Active
Other names
LINEVILLE MEDICAL CLINIC
Organization subpart
No
Provider details
NPI number
Authorized official
SUSAN HENDERSON (CLINIC ADMINISTRATOR)
(641) 872-5341
Entity
Organization
Contact information
Practice address
101 MAIN ST, LINEVILLE, IA 50147-8517
(641) 876-2070
(641) 876-2458
Mailing address
PO BOX 283, CORYDON, IA 50060-0283
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
—
—
261QR1300X
Rural Health Clinic/Center
Primary
—
—
363LF0000X
Family Nurse Practitioner
—
—
Other
Enumeration date
09/28/2006
Last updated
12/30/2016
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