Organization
HAWARDEN REGIONAL HEALTHCARE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. JAYSON P PULLMAN (CEO)
(712) 551-3103
Entity
Organization
Contact information
Practice address
1111 11TH ST, HAWARDEN, IA 51023-1903
(712) 551-3100
(712) 551-3195
Mailing address
1111 11TH ST, HAWARDEN, IA 51023-1903
(712) 551-3100
(712) 551-3195
Taxonomy
Speciality
Code
Description
License number
State
282NC0060X
Critical Access Hospital
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0120320
—
SD
05
—
0135046
—
IA
01
—
0165126
ELDERLY WAIVER
IA
05
—
0601344
—
IA
05
—
0685032
—
IA
01
—
38497
WELLMARK BCBS
IA
05
—
5520320
—
SD
Enumeration date
01/26/2006
Last updated
05/05/2016
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