Organization
ADAIR COUNTY MEMORIAL HOSPITAL
Active
Parent organization
ADAIR COUNTY MEMORIAL HOSPITAL
Other names
Adair County Medical Clinic Fontanelle
Organization subpart
Yes
Provider details
NPI number
Legal business name
ADAIR COUNTY MEMORIAL HOSPITAL
Authorized official
MS. MARCIA L HENDRICKS (CEO)
(641) 743-7234
Entity
Organization
Contact information
Practice address
406 5TH ST, FONTANELLE, IA 50846-8308
(641) 745-4300
(641) 743-4034
Mailing address
609 SE KENT ST, GREENFIELD, IA 50849-9494
(641) 743-2123
(641) 743-7292
Taxonomy
Speciality
Code
Description
License number
State
261QR1300X
Rural Health Clinic/Center
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0685016
—
IA
01
—
33844
BLUE CROSS
IA
Enumeration date
06/06/2006
Last updated
09/14/2016
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