Organization
SOUTHEAST IOWA REGIONAL MEDICAL CENTER, INC.
Active
Other names
Great River Home Health and Hospice, Southeast Iowa Regional Home Health, Great River Medical Center
Organization subpart
No
Provider details
NPI number
Authorized official
MICHAEL MCCOY (CEO)
(319) 768-3268
Entity
Organization
Contact information
Practice address
1306 S WASHINGTON RD, WEST BURLINGTON, IA 52655-1703
(319) 768-3626
Mailing address
1221 S GEAR AVE, WEST BURLINGTON, IA 52655-1679
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
290147H
IA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0671362
—
IA
01
—
67136
HOME HEALTH
IA
Enumeration date
01/10/2006
Last updated
03/09/2026
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