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Organization

DALLAS COUNTY HOSPITAL

Active
Parent organization
DALLAS COUNTY HOSPITAL
Organization subpart
Yes

Provider details

NPI number
Legal business name
DALLAS COUNTY HOSPITAL
Authorized official
ANGELA MORTOZA (CEO)
(515) 465-7600
Entity
Organization

Contact information

Practice address
610 10TH ST, PERRY, IA 50220-2249
(515) 465-3547
(515) 465-2922
Mailing address
610 10TH ST, PERRY, IA 50220-2249
(515) 465-3547
(515) 465-2922

Taxonomy

Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
250157H
IA
207Q00000X
Family Medicine Physician
207RC0000X
Cardiovascular Disease Physician
261QC0050X
Critical Access Hospital Clinic/Center
367500000X
Certified Registered Nurse Anesthetist
250157H
IA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
0269001
IA
Enumeration date
07/27/2006
Last updated
02/19/2020
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