WAYNE COUNTY HOSPITAL NPI 1104125822

NPI Information

  • NPI: 1104125822
  • Provider Name: WAYNE COUNTY HOSPITAL
  • Classification: Clinic/Center - 261QR1300X
  • Specialization: Rural Health
  • Entity Type: Organization
  • Doing Business As: SOUTH CENTRAL IOWA MEDICAL CLINIC
  • CLIA Number: 16D0382708
  • Address: 417 S EAST ST
    SUITE 100
    CORYDON, IA
    ZIP 50060
  • Phone: (641) 872-2063

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NPI Details

WAYNE COUNTY HOSPITAL is a rural health clinic center in Corydon, IA. WAYNE COUNTY HOSPITAL NPI is 1104125822. The provider is registered as an organization entity type and is a multi-specialty group.
The provider Is Doing Business As South Central Iowa Medical Clinic.

The provider's business location address is:

417 S EAST ST
SUITE 100
CORYDON, IA
ZIP 50060-860
Phone: (641) 872-2063
Fax: (641) 872-2070

The provider's authorized official is Daren L Relph .
The authorized official title is Chief Executive Officer and has the following contact phone number (641) 872-2260.

The CLIA number assigned to this NPI record is 16D0382708 - physician office with a certificate type of Certificate of Compliance.

The enumeration date for this NPI number is 3/21/2011 and was last updated on 11/21/2017.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1207Q00000XFamily MedicineNo
2261QR1300XClinic/CenterRural HealthYes
3363A00000XPhysician AssistantNo
4363LF0000XNurse PractitionerFamilyNo
5367A00000XAdvanced Practice MidwifeNo

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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