VAN BUREN COUNTY HOSPITAL NPI 1578641593

NPI Information

NPI: 1578641593
Provider Name: VAN BUREN COUNTY HOSPITAL

Doing Business As: FOX RIVER MEDICAL CLINIC

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

Specialization: Rural Health

Address:
14983 275 STREET
CANTRIL, IA
ZIP 52542
Phone: (319) 397-2300
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VAN BUREN COUNTY HOSPITAL is a rural health clinic center in Cantril, IA. VAN BUREN COUNTY HOSPITAL NPI is 1578641593. The provider is registered as an organization entity type.
The provider Is Doing Business As Fox River Medical Clinic.

The provider's business location address is:

14983 275 STREET
CANTRIL, IA
ZIP 52542-087
Phone: (319) 397-2300
Fax: (319) 293-2300

The provider's authorized official is Kara M. Mcentee .
The authorized official title is Cfo and has the following contact phone number (319) 293-3171.

The CLIA number assigned to this NPI record is 16D0880650 - rural health clinic with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 11/1/2006 and was last updated on 10/11/2014.

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
1	261QR1300X	Clinic/Center	Rural Health			Yes

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 Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	163996	MEDICARE OSCAR/CERTIFICATION	IOWA
2	0639963	MEDICAID	IOWA

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

NPI Synchronization or Removal

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