Organization
BUENA VISTA REGIONAL MEDICAL CENTER
Active
Parent organization
BUENA VISTA REGIONAL MEDICAL CENTER
Other names
BVRMC PHARMACY
Organization subpart
Yes
Provider details
NPI number
Legal business name
BUENA VISTA REGIONAL MEDICAL CENTER
Authorized official
MR. STEVEN ROB COLERICK (CEO)
(712) 213-8600
Entity
Organization
Contact information
Practice address
620 NORTHWESTERN DR, POD 2, STORM LAKE, IA 50588-2935
(712) 213-8065
(712) 213-1233
Mailing address
PO BOX 309, STORM LAKE, IA 50588-0309
(712) 732-4030
(712) 213-1233
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
—
—
333600000X
Pharmacy
1056
IA
3336C0002X
Clinic Pharmacy
1056
IA
3336C0003X
Community/Retail Pharmacy
Primary
1056
IA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1166108
—
IA
Enumeration date
12/29/2006
Last updated
01/30/2023
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