Organization
ST ANTHONY REGIONAL HOSPITAL AND NURSING HOME
Active
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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