Organization
MITCHELL COUNTY MEMORIAL HOSPITAL
Active
Other names
RICEVILLE CLINIC
Organization subpart
No
Provider details
NPI number
Authorized official
MICHELE RUSSELL (CEO)
(641) 732-6003
Entity
Organization
Contact information
Practice address
109 WESTWARD DR # 6, RICEVILLE, IA 50466-7550
(641) 985-2122
(641) 985-2839
Mailing address
616 N 8TH ST, OSAGE, IA 50461-1456
(641) 732-6000
(641) 732-6028
Taxonomy
Speciality
Code
Description
License number
State
261QR1300X
Rural Health Clinic/Center
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0635037
—
IA
Enumeration date
09/29/2006
Last updated
12/07/2020
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