Organization
OTTUMWA REGIONAL HEALTH CENTER, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. CHAD M WOLBERS (INTERIM CEO)
(641) 684-2300
Entity
Organization
Contact information
Practice address
312 E ALTA VISTA AVE, OTTUMWA, IA 52501-1413
(641) 684-3103
Mailing address
1001 PENNSYLVANIA AVE, OTTUMWA, IA 52501-6427
Taxonomy
Speciality
Code
Description
License number
State
273R00000X
Psychiatric Hospital Unit
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
16S089
BC MENTAL HEALTH NO
IA
Enumeration date
01/31/2007
Last updated
08/20/2007
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