Organization
GREATER REGIONAL MEDICAL CENTER
Active
Parent organization
GREATER REGIONAL MEDICAL CENTER
Other names
Greater Regional Hospice
Organization subpart
Yes
Provider details
NPI number
Legal business name
GREATER REGIONAL MEDICAL CENTER
Authorized official
LOUANN SNODGRASS LISW (EXECUTIVE DIRECTOR)
(641) 782-3515
Entity
Organization
Contact information
Practice address
1715 W PRAIRIE ST, SUITE A, CRESTON, IA 50801-1325
(641) 782-3528
(641) 782-3541
Mailing address
1715 W PRAIRIE ST, SUITE A, CRESTON, IA 50801-1325
(641) 782-3528
(641) 782-3541
Taxonomy
Speciality
Code
Description
License number
State
251G00000X
Community Based Hospice Care Agency
Primary
—
IA
315D00000X
Inpatient Hospice
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0615096
—
IA
01
—
61509
BLUE CROSS BLUE SHIELD
IA
01
—
F414
MIDLANDS CHOICE
IA
Enumeration date
01/27/2006
Last updated
04/12/2013
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