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Organization

STORY COUNTY HOSPITAL

Active
Organization subpart
No

Provider details

NPI number
Authorized official
PAUL GROTELUSCHEN (PHARMACIST)
(515) 382-7745
Entity
Organization

Contact information

Practice address
640 S 19TH ST, NEVADA, IA 50201-2902
(515) 382-7745
(515) 382-7769
Mailing address
640 S 19TH ST, NEVADA, IA 50201-2902
(515) 382-7745
(515) 382-7769

Taxonomy

Speciality
Code
Description
License number
State
282NC0060X
Critical Access Hospital
Primary
918
IA
313M00000X
Nursing Facility/Intermediate Care Facility
947
IA

Other

Enumeration date
01/02/2007
Last updated
01/18/2017
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