Organization
AMERICAN BAPTIST HOMES OF THE MIDWEST
Active
Other names
Salsbury Baptist Home
Organization subpart
No
Provider details
NPI number
Authorized official
DEBORAH A KOTCHER (DIRECTOR OF REIMBURSEMENT)
(952) 253-1485
Entity
Organization
Contact information
Practice address
807 5TH ST, CHARLES CITY, IA 50616-3303
(641) 228-1612
(641) 228-6747
Mailing address
807 5TH ST, CHARLES CITY, IA 50616-3303
(641) 228-1612
(641) 228-6747
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
—
IA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0890590
—
IA
05
—
803569
—
IA
Enumeration date
10/06/2005
Last updated
07/21/2022
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