Organization
POCAHONTAS COMMUNITY HOSPITAL
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. LYNNE A RAVELING (CFO)
(712) 335-3501
Entity
Organization
Contact information
Practice address
606 NW 7TH ST, POCAHONTAS, IA 50574-1028
(712) 335-3501
(712) 335-4116
Mailing address
606 NW 7TH ST, POCAHONTAS, IA 50574-1028
(712) 335-3501
(712) 335-4116
Taxonomy
Speciality
Code
Description
License number
State
282NC0060X
Critical Access Hospital
Primary
760133H
IA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
116053
—
IA
01
—
12752
BC GROUP BILLING NUMBER
IA
Enumeration date
08/16/2006
Last updated
08/22/2020
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