Organization
SHENANDOAH MEDICAL CENTER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KILEY WILSON (EOB CASH SPECIALIST)
(712) 246-7452
Entity
Organization
Contact information
Practice address
713 MAIN ST, TABOR, IA 51653-2031
(712) 246-7400
Mailing address
300 PERSHING AVE, SHENANDOAH, IA 51601-2355
(712) 246-7400
Taxonomy
Speciality
Code
Description
License number
State
261QR1300X
Rural Health Clinic/Center
Primary
—
—
Other
Enumeration date
04/30/2020
Last updated
04/30/2020
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