Organization
IOWA SPECIALTY HOSPITAL- CLARION
Active
Organization subpart
No
Provider details
NPI number
Authorized official
STEVE SIMONIN (CEO)
(515) 532-2811
Entity
Organization
Contact information
Practice address
1316 S MAIN ST, CLARION, IA 50525-2019
(515) 532-2811
(515) 532-9336
Mailing address
1316 S MAIN ST, CLARION, IA 50525-2019
(515) 532-2811
(515) 532-9336
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
990177H
IA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
25658
BCBS-GENERAL SURGEON
IA
Enumeration date
02/06/2007
Last updated
12/18/2019
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