| Shelby County Chris A Myrtue Memorial Hospital | |
|
4022 Main Street Elk Horn IA 51531-2102 | |
| (712) 764-4642 | |
| (712) 764-4643 |
| Full Name | Shelby County Chris A Myrtue Memorial Hospital |
|---|---|
| Speciality | Clinic/Center |
| Location | 4022 Main Street, Elk Horn, Iowa |
| Authorized Official Name and Position | Barry A. Jacobsen (CEO) |
| Authorized Official Contact | 7127554315 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Shelby County Chris A Myrtue Memorial Hospital 1213 Garfield Ave Harlan IA 51537-2057 Ph: (712) 755-5161 | Shelby County Chris A Myrtue Memorial Hospital 4022 Main Street Elk Horn IA 51531-2102 Ph: (712) 764-4642 |
| NPI Number | 1467569905 |
|---|---|
| Provider Enumeration Date | 08/23/2006 |
| Last Update Date | 12/14/2010 |
| Medicare PECOS PAC ID | 5193619393 |
|---|---|
| Medicare Enrollment ID | O20051004000883 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1467569905 | NPI | - | NPPES |
| 0685149 | Medicaid | IA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QR1300X | Clinic/center - Rural Health | (* (Not Available)) | Primary |
Shelby County Chris A. Myrtue Memorial Hospital Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 4022 Main Street, Elk Horn, IA 51531 Phone: 712-764-4642 Fax: 712-764-4643 |