Organization
OTTUMWA REGIONAL HEALTH CENTER, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. THOMAS SIEMERS (CEO)
(641) 684-2323
Entity
Organization
Contact information
Practice address
1001 PENNSYLVANIA AVE, OTTUMWA, IA 52501-6427
(641) 682-7511
(641) 684-2324
Mailing address
1001 PENNSYLVANIA AVE, OTTUMWA, IA 52501-6427
Taxonomy
Speciality
Code
Description
License number
State
332BC3200X
Customized Equipment (DME)
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0124123
—
IA
Enumeration date
05/07/2007
Last updated
04/28/2016
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