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Organization

GRINNELL REGIONAL MEDICAL CENTER

Active
Parent organization
GRINNELL REGIONAL MEDICAL CENTER
Other names
VICTOR HEALTH CENTER
Organization subpart
Yes

Provider details

NPI number
Legal business name
GRINNELL REGIONAL MEDICAL CENTER
Authorized official
MR. KYLE M WILCOX (CFO)
(641) 236-2919
Entity
Organization

Contact information

Practice address
709 2ND ST, VICTOR, IA 52347-7709
(319) 647-7511
(319) 647-7521
Mailing address
709 2ND ST, VICTOR, IA 52347-7709
(319) 647-7511
(319) 647-7521

Taxonomy

Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
261QR1300X
Rural Health Clinic/Center
Primary
363A00000X
Physician Assistant

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
0685107
IA
Enumeration date
11/27/2006
Last updated
01/13/2018
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