Organization
ST ANTHONY REGIONAL HOSPITAL AND NURSING HOME
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JOHN MUNSON (CFO)
(712) 794-5115
Entity
Organization
Contact information
Practice address
311 S CLARK ST, CARROLL, IA 51401-3038
(712) 792-3581
Mailing address
311 S CLARK ST, CARROLL, IA 51401-3038
(712) 792-3581
Taxonomy
Speciality
Code
Description
License number
State
163WD0400X
Diabetes Educator Registered Nurse
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
140090H
LICENSE
IA
Enumeration date
07/02/2019
Last updated
07/02/2019
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