Organization
BUENA VISTA REGIONAL MEDICAL CENTER
Active
Organization
BUENA VISTA REGIONAL MEDICAL CENTER
Active
Parent organization
BUENA VISTA REGIONAL MEDICAL CENTER
Other names
Buena Vista Regional Medical Center Hospice
Organization subpart
Yes
Provider details
NPI number
Legal business name
BUENA VISTA REGIONAL MEDICAL CENTER
Authorized official
MRS. KRISTA L KETCHAM (CFO)
(712) 213-8603
Entity
Organization
Contact information
Practice address
1305 W MILWAUKEE AVE, STORM LAKE, IA 50588-2904
(712) 749-2747
(712) 749-2750
Mailing address
PO BOX 309, STORM LAKE, IA 50588-0309
(712) 732-4030
(712) 213-1233
Taxonomy
Speciality
Code
Description
License number
State
251G00000X
Community Based Hospice Care Agency
Primary
—
IA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0615344
—
IA
01
—
61534
WELLMARK HOSPICE
IA
Enumeration date
05/09/2006
Last updated
07/08/2011
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