| Alegent Health Community Memorial Hospital Of Missouri Valley, Iowa | |
|
809 Elm St Missouri Valley IA 51555-1140 | |
| (712) 642-2794 | |
| (712) 642-4221 |
| Full Name | Alegent Health Community Memorial Hospital Of Missouri Valley, Iowa |
|---|---|
| Speciality | Clinic/Center |
| Location | 809 Elm St, Missouri Valley, Iowa |
| Authorized Official Name and Position | Evert Kuiper (CEO - CHI HEALTH) |
| Authorized Official Contact | 4023434420 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Alegent Health Community Memorial Hospital Of Missouri Valley, Iowa 809 Elm St Missouri Valley IA 51555-1140 Ph: (712) 642-2794 | Alegent Health Community Memorial Hospital Of Missouri Valley, Iowa 809 Elm St Missouri Valley IA 51555-1140 Ph: (712) 642-2794 |
| NPI Number | 1700961273 |
|---|---|
| Provider Enumeration Date | 10/25/2006 |
| Last Update Date | 02/10/2022 |
| Medicare PECOS PAC ID | 3678482130 |
|---|---|
| Medicare Enrollment ID | O20050128000513 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1700961273 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QR1300X | Clinic/center - Rural Health | (* (Not Available)) | Primary |
Alegent Health Community Memorial Hospital Of Missouri Valley Iowa Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 809 E Elm Street, Missouri Valley, IA 51555 Phone: 712-642-2794 Fax: 402-642-9338 |