Organization
VAN BUREN COUNTY HOSPITAL
Active
Other names
Stockport Rural Health Clinic
Organization subpart
No
Provider details
NPI number
Authorized official
MS. LISA W SCHNEDLER (ADMINISTRATOR)
(319) 293-3171
Entity
Organization
Contact information
Practice address
111 S. MAIN ST., STOCKPORT, IA 52651
(319) 796-2203
(319) 796-2203
Mailing address
PO BOX 70, 304 FRANKLIN STREET, KEOSAUQUA, IA 52565-0070
(319) 293-3171
(319) 293-3473
Taxonomy
Speciality
Code
Description
License number
State
261Q00000X
Clinic/Center
Primary
890026H
IA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0639955
—
IA
Enumeration date
11/07/2006
Last updated
06/19/2008
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