Organization
CRAWFORD COUNTY MEMORIAL HOSPITAL
Active
Parent organization
CRAWFORD COUNTY MEMORIAL HOSPITAL
Other names
Family Practice & Surgical Specialists
Organization subpart
Yes
Provider details
NPI number
Legal business name
CRAWFORD COUNTY MEMORIAL HOSPITAL
Authorized official
MR. MARK H. RINEHARDT (ADMINISTRATOR/CEO)
(712) 263-1620
Entity
Organization
Contact information
Practice address
542 MAIN STREET, MANILLA, IA 51454-0000
(712) 654-2400
Mailing address
2016 1ST AVE S, DENISON, IA 51442-2210
(712) 263-3388
(712) 263-1777
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
—
—
363AM0700X
Medical Physician Assistant
Primary
—
—
363L00000X
Nurse Practitioner
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0154542
—
IA
01
—
51356
WELLMARK
IA
Enumeration date
03/05/2008
Last updated
03/05/2008
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