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CRAWFORD COUNTY MEMORIAL HOSPITAL NPI 1174793285


NPI Information

NPI: 1174793285
Provider Name: CRAWFORD COUNTY MEMORIAL HOSPITAL

Other Name: CCMH MEDICAL CLINIC

Classification: Family Medicine - 207Q00000X
Entity Type: Organization
Address:
100 MEDICAL PKWY
SUITE A
DENISON, IA
ZIP 51442
Phone: (712) 265-2700
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CRAWFORD COUNTY MEMORIAL HOSPITAL is a family medicine in Denison, IA. The provider is family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. CRAWFORD COUNTY MEMORIAL HOSPITAL NPI is 1174793285. The provider is registered as an organization entity type and is a multiple single specialty group.
The provider Other Name Is Ccmh Medical Clinic.

The provider's business location address is:

100 MEDICAL PKWY
SUITE A
DENISON, IA
ZIP 51442-607
Phone: (712) 265-2700
Fax: (712) 263-1777

The provider's authorized official is Nancy J. Carlson .
The authorized official title is Chief Financial Officer and has the following contact phone number (712) 265-2505.

The enumeration date for this NPI number is 3/4/2008 and was last updated on 11/28/2011.


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 CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1363A00000XPhysician AssistantNo
2363L00000XNurse PractitionerNo
3207Q00000XFamily MedicineYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
10154542MEDICAIDIOWA
251356OTHERIOWAWELLMARK
351356MEDICARE PINIOWA

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: 4/28/2024

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.