Organization
GREENE COUNTY MEDICAL CENTER
Active
Other names
Greene County Dept of Public Health DME
Organization subpart
No
Provider details
NPI number
Authorized official
MR. MARK A VANDERLINDEN (CFO)
(515) 386-2114
Entity
Organization
Contact information
Practice address
1000 W LINCOLNWAY ST, JEFFERSON, IA 50129-1645
(515) 386-2114
(515) 386-3695
Mailing address
1000 W LINCOLNWAY ST, JEFFERSON, IA 50129-1645
(515) 386-2114
(515) 386-3695
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0091785
—
IA
Enumeration date
01/02/2007
Last updated
06/08/2016
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