Organization
RCHP-OTTUMWA, INC.
Active
Parent organization
RCHP-OTTUMWA, INC.
Other names
Collaborative Laboratory Services
Organization subpart
Yes
Provider details
NPI number
Legal business name
RCHP-OTTUMWA, INC.
Authorized official
MR. JOHN M RUTLEDGE (PRESIDENT AND COO)
(615) 227-1415
Entity
Organization
Contact information
Practice address
1005 PENNSYLVANIA AVE, SUITE 102, OTTUMWA, IA 52501-6413
(641) 684-4621
Mailing address
1005 PENNSYLVANIA AVE, SUITE 102, OTTUMWA, IA 52501-6413
(641) 684-4621
Taxonomy
Speciality
Code
Description
License number
State
282N00000X
General Acute Care Hospital
Primary
900055H
IA
291U00000X
Clinical Medical Laboratory
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0600890
—
IA
Enumeration date
12/21/2012
Last updated
12/21/2012
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