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
1001 PENNSYLVANIA AVE, OTTUMWA, IA 52501-6427
(641) 682-7511
Mailing address
1001 PENNSYLVANIA AVE, OTTUMWA, IA 52501-6427
Taxonomy
Speciality
Code
Description
License number
State
273Y00000X
Rehabilitation Hospital Unit
Primary
900055H
IA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
6T089
IRF BLUE CROSS
IA
Enumeration date
12/20/2006
Last updated
08/20/2007
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