| Ida County Iowa Community Hospital | |
|
300 S Maple St Odebolt IA 51458-7714 | |
| (712) 668-2232 | |
| Not Available |
| Full Name | Ida County Iowa Community Hospital |
|---|---|
| Speciality | Clinic/Center |
| Location | 300 S Maple St, Odebolt, Iowa |
| Authorized Official Name and Position | Joni G. Schumann (CFO) |
| Authorized Official Contact | 7123647225 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Ida County Iowa Community Hospital 701 E 2nd St Ida Grove IA 51445-1666 Ph: (712) 364-3311 | Ida County Iowa Community Hospital 300 S Maple St Odebolt IA 51458-7714 Ph: (712) 668-2232 |
| NPI Number | 1982006359 |
|---|---|
| Provider Enumeration Date | 09/17/2014 |
| Last Update Date | 03/16/2021 |
| Medicare PECOS PAC ID | 9537070826 |
|---|---|
| Medicare Enrollment ID | O20141107001827 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1982006359 | NPI | - | NPPES |
| IB1500 | Other | IA | MEDICARE PTAN |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QR1300X | Clinic/center - Rural Health | 470061H (Iowa) | Primary |
Odebolt Medical Clinic Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 300 South Maple Street, Odebolt, IA 51458 Phone: 712-668-2232 Fax: 712-668-2233 | |
Odebolt Family Health Center Pllc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 224 S Main St, Odebolt, IA 51458 Phone: 712-830-3500 |