Organization
SHENANDOAH MEDICAL CENTER
Active
Other names
ELM HEIGHTS CARE CENTER
Organization subpart
No
Provider details
NPI number
Authorized official
DENNIS DEWILD (ADMINISTRATOR)
(712) 246-4627
Entity
Organization
Contact information
Practice address
1203 S ELM ST, SHENANDOAH, IA 51601-2221
(712) 246-4627
(712) 246-7357
Mailing address
300 PERSHING AVE, SHENANDOAH, IA 51601-2355
(712) 246-4627
(712) 246-7357
Taxonomy
Speciality
Code
Description
License number
State
313M00000X
Nursing Facility/Intermediate Care Facility
730860
IA
314000000X
Skilled Nursing Facility
Primary
730860
IA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0806505
—
IA
Enumeration date
09/23/2005
Last updated
08/04/2016
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