Organization
IDA COUNTY IOWA COMMUNITY HOSPITAL
Active
Parent organization
IDA COUNTY IOWA COMMUNITY HOSPITAL
Other names
Horn Physicians Clinic Odebolt
Organization subpart
Yes
Provider details
NPI number
Legal business name
IDA COUNTY IOWA COMMUNITY HOSPITAL
Authorized official
JONI G. SCHUMANN (CFO)
(712) 364-7225
Entity
Organization
Contact information
Practice address
300 S MAPLE ST, ODEBOLT, IA 51458-7714
(712) 668-2232
Mailing address
701 E 2ND ST, IDA GROVE, IA 51445-1666
(712) 364-3311
Taxonomy
Speciality
Code
Description
License number
State
261QR1300X
Rural Health Clinic/Center
Primary
470061H
IA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
IB1500
MEDICARE PTAN
IA
Enumeration date
09/17/2014
Last updated
03/16/2021
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