Organization
BOONE COUNTY HOSPITAL
Active
Other names
BOONE COUNTY FAMILY MEDICINE OGDEN CLINIC
Organization subpart
No
Provider details
NPI number
Authorized official
MIKAELA KIENITZ (CEO)
(515) 432-3140
Entity
Organization
Contact information
Practice address
320 W WALNUT ST, OGDEN, IA 50212-0820
(515) 275-2417
Mailing address
1015 UNION ST, BOONE, IA 50036-4821
(515) 432-3140
(515) 433-8950
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
IA
261QR1300X
Rural Health Clinic/Center
—
IA
Other
Enumeration date
02/18/2014
Last updated
10/10/2023
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