Organization
WAYNE COUNTY HOSPITAL
Active
Other names
DIALYSIS
Organization subpart
No
Provider details
NPI number
Authorized official
SUSAN HENDERSON (ADMIN SPECIAL PROJECTS)
(641) 872-5341
Entity
Organization
Contact information
Practice address
417 S EAST ST, CORYDON, IA 50060-1860
(641) 872-2260
(641) 872-3116
Mailing address
PO BOX 305, CORYDON, IA 50060-0305
(641) 872-2260
(641) 872-3116
Taxonomy
Speciality
Code
Description
License number
State
261QE0700X
End-Stage Renal Disease (ESRD) Treatment Clinic/Center
Primary
930027H
IA
Other
Enumeration date
10/03/2006
Last updated
01/10/2012
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