Organization
WAYNE COUNTY HOSPITAL
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SUSAN HENDERSON (SPECIAL PROJECTS ADMIN)
(641) 872-5341
Entity
Organization
Contact information
Practice address
417 S EAST ST, CORYDON, IA 50060-1860
(641) 872-2260
(641) 872-3116
Mailing address
PO BOX 305, CORYDON, IA 50060-0305
(641) 872-2260
(641) 872-3116
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
25641
HOSPITAL CRNA GROUP NO
IA
Enumeration date
04/18/2007
Last updated
11/10/2011
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