Organization
PELLA REGIONAL HEALTH CENTER
Active
Other names
Pella Regional Therapy Agency
Organization subpart
No
Provider details
NPI number
Authorized official
ROBERT D KROESE (CHIEF EXECUTIVE OFFICER)
(641) 628-6604
Entity
Organization
Contact information
Practice address
301 W 2ND ST STE B-1, OTTUMWA, IA 52501-2506
(641) 628-6623
(641) 621-2223
Mailing address
301 W 2ND ST STE B-1, OTTUMWA, IA 52501-2506
(641) 628-6623
(641) 621-2223
Taxonomy
Speciality
Code
Description
License number
State
261QR0400X
Rehabilitation Clinic/Center
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1952773921
NPI NUMBER
—
Enumeration date
10/29/2015
Last updated
02/11/2021
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