Organization
STEWART MEMORIAL COMMUNITY HOSPITAL
Active
Parent organization
STEWART MEMORIAL COMMUNITY HOSPITAL
Organization subpart
Yes
Provider details
NPI number
Legal business name
STEWART MEMORIAL COMMUNITY HOSPITAL
Authorized official
JAMES L HENKENIUS (CFO)
(712) 464-4200
Entity
Organization
Contact information
Practice address
1301 W MAIN ST, LAKE CITY, IA 51449-1585
(712) 464-3171
(712) 464-3269
Mailing address
1301 W MAIN ST, LAKE CITY, IA 51449-1585
(712) 464-3171
(712) 464-3269
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
—
IA
367500000X
Certified Registered Nurse Anesthetist
Primary
—
IA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0267526
—
IA
Enumeration date
02/12/2007
Last updated
11/01/2021
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