Organization
SHENANDOAH MEDICAL CENTER
Active
Other names
Shenandoah Physicians Clinic
Organization subpart
No
Provider details
NPI number
Authorized official
KAREN COLE (CEO)
(712) 246-1230
Entity
Organization
Contact information
Practice address
802 ILLINOIS ST, SIDNEY, IA 51652-0217
(712) 374-6005
(712) 374-2301
Mailing address
802 ILLINOIS STREET, SIDNEY, IA 51652-0217
(712) 374-6005
(712) 374-3100
Taxonomy
Speciality
Code
Description
License number
State
261QR1300X
Rural Health Clinic/Center
Primary
730065H
IA
Other
Enumeration date
12/22/2006
Last updated
10/25/2012
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