| Southeast Iowa Regional Medical Center, Inc. | |
|
5445 Avenue O Fort Madison IA 52627-9611 | |
| (319) 372-6530 | |
| Not Available |
| Full Name | Southeast Iowa Regional Medical Center, Inc. |
|---|---|
| Speciality | Psychiatric Unit |
| Location | 5445 Avenue O, Fort Madison, Iowa |
| Authorized Official Name and Position | Michael Mccoy (CEO) |
| Authorized Official Contact | 3197683268 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Southeast Iowa Regional Medical Center, Inc. 1221 S Gear Ave West Burlington IA 52655-1679 Ph: (319) 768-3622 | Southeast Iowa Regional Medical Center, Inc. 5445 Avenue O Fort Madison IA 52627-9611 Ph: (319) 372-6530 |
| NPI Number | 1518531706 |
|---|---|
| Provider Enumeration Date | 05/13/2021 |
| Last Update Date | 10/18/2022 |
| Certification Date | 10/18/2022 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1518531706 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 273R00000X | Psychiatric Unit | (* (Not Available)) | Primary |
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