Organization
GRINNELL REGIONAL MEDICAL CENTER
Active
Parent organization
GRINNELL REGIONAL MEDICAL CENTER
Other names
Lynnville Medical Clinic
Organization subpart
Yes
Provider details
NPI number
Legal business name
GRINNELL REGIONAL MEDICAL CENTER
Authorized official
KYLE WILCOX (VP FINANCE)
(641) 236-2919
Entity
Organization
Contact information
Practice address
303 EAST STREET, LYNNVILLE, IA 50153
(641) 527-2929
Mailing address
303 EAST STREET, LYNNVILLE, IA 50153
(641) 527-2929
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
IA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0685115
—
IA
Enumeration date
11/27/2006
Last updated
08/12/2016
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