Organization
CRAWFORD COUNTY MEMORIAL HOSPITAL
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. MARK H. RINEHARDT (ADMINISTRATOR AND CEO)
(712) 263-1620
Entity
Organization
Contact information
Practice address
2020 1ST AVE S, DENISON, IA 51442-2210
(712) 263-5021
(712) 263-1600
Mailing address
2020 1ST AVE S, DENISON, IA 51442-2210
(712) 263-5021
(712) 263-1600
Taxonomy
Speciality
Code
Description
License number
State
261QE0002X
Emergency Care Clinic/Center
Primary
240173H
IA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0246124
—
IA
01
—
24612
MEDICARE GROUP BILLING
IA
Enumeration date
08/22/2005
Last updated
11/06/2007
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