Organization
GREATER REGIONAL MEDICAL CENTER
Active
Parent organization
GREATER REGIONAL MEDICAL CENTER
Organization subpart
Yes
Provider details
NPI number
Legal business name
GREATER REGIONAL MEDICAL CENTER
Authorized official
MR. MATT L MCCUTCHAN (CFO)
(641) 782-3899
Entity
Organization
Contact information
Practice address
1700 W TOWNLINE ST, CRESTON, IA 50801-1054
(641) 782-7091
(641) 782-3830
Mailing address
1700 W TOWNLINE ST, CRESTON, IA 50801-1054
(641) 782-7091
(641) 782-3830
Taxonomy
Speciality
Code
Description
License number
State
275N00000X
Medicare Defined Swing Bed Hospital Unit
Primary
880053H
IA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0655621
—
IA
Enumeration date
08/11/2006
Last updated
03/08/2011
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