Organization
WEST BEND CARE CENTER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. DANIEL MYERS (PRESIDENT)
(712) 293-0117
Entity
Organization
Contact information
Practice address
203 4TH ST NW, WEST BEND, IA 50597-5114
(515) 887-4071
(515) 887-3973
Mailing address
1512 PIERCE ST, SIOUX CITY, IA 51105-1246
(712) 293-0117
(712) 293-0356
Taxonomy
Speciality
Code
Description
License number
State
313M00000X
Nursing Facility/Intermediate Care Facility
Primary
740851
IA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0805275
—
IA
01
—
65444
BCBS IA
IA
01
—
F250511
MIDLANDS CHOICE PPO
IA
Enumeration date
12/04/2006
Last updated
08/22/2020
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