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Organization

SHENANDOAH MEDICAL CENTER

Active
Other names
Shenandoah Memorial Hospital
Organization subpart
No

Provider details

NPI number
Authorized official
KAREN COLE (CEO)
(712) 246-1230
Entity
Organization

Contact information

Practice address
300 PERSHING AVE, SHENANDOAH, IA 51601-2355
(712) 246-1230
(712) 246-7357
Mailing address
300 PERSHING AVE, SHENANDOAH, IA 51601-2355
(712) 246-1230
(712) 246-7357

Taxonomy

Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
730065H
IA
207R00000X
Internal Medicine Physician
730065H
IA
207V00000X
Obstetrics & Gynecology Physician
730065H
IA
207VF0040X
Urogynecology and Reconstructive Pelvic Surgery (Obstetrics & Gynecology) Physician
27220
IA
208600000X
Surgery Physician
Primary
730065H
IA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
0423467
IA
Enumeration date
12/26/2006
Last updated
05/04/2015
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