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SHENANDOAH MEDICAL CENTER NPI 1558766956


NPI Information

NPI: 1558766956
Provider Name: SHENANDOAH MEDICAL CENTER

Doing Business As: SHENANDOAH PHYSICIANS CLINIC-ESSEX

Classification: Clinic/Center - 261QR1300X
Entity Type: Organization

Specialization: Rural Health

CLIA Number: 16D1072573

Address:
527 IOWA AVE
ESSEX, IA
ZIP 51638
Phone: (712) 379-7040
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SHENANDOAH MEDICAL CENTER is a rural health clinic center in Essex, IA. SHENANDOAH MEDICAL CENTER NPI is 1558766956. The provider is registered as an organization entity type.
The provider Is Doing Business As Shenandoah Physicians Clinic-essex.

The provider's business location address is:

527 IOWA AVE
ESSEX, IA
ZIP 51638-076
Phone: (712) 379-7040
Fax: (712) 379-7042

The provider's authorized official is Karen S Cole .
The authorized official title is Ceo and has the following contact phone number (712) 246-1230.

The CLIA number assigned to this NPI record is 16D1072573 - physician office with a certificate type of Certificate for Provider-Performed Microscopy Procedures (PPMP).

The enumeration date for this NPI number is 10/28/2014 and was last updated on 10/28/2014.


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
1261QR1300XClinic/CenterRural Health730065HIOWAYes

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: 5/5/2024

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