SHELBY COUNTY CHRIS A MYRTUE MEMORIAL HOSPITAL NPI 1598871469

NPI Information

  • NPI: 1598871469
  • Provider Name: SHELBY COUNTY CHRIS A MYRTUE MEMORIAL HOSPITAL
  • Classification: General Acute Care Hospital - 282NC0060X
  • Specialization: Critical Access
  • Entity Type: Organization
  • Doing Business As: MYRTUE MEDICAL CENTER
  • CLIA Number: 16D0707940
  • Address: 1213 GARFIELD AVE
    HARLAN, IA
    ZIP 51537
  • Phone: (712) 755-5161

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NPI Details

SHELBY COUNTY CHRIS A MYRTUE MEMORIAL HOSPITAL is a critical access general acute care hospital in Harlan, IA. SHELBY COUNTY CHRIS A MYRTUE MEMORIAL HOSPITAL NPI is 1598871469. The provider is registered as an organization entity type.
The provider Is Doing Business As Myrtue Medical Center.

The provider's business location address is:

1213 GARFIELD AVE
HARLAN, IA
ZIP 51537-057
Phone: (712) 755-5161
Fax: (712) 755-4412

The provider's authorized official is Barry A. Jacobsen .
The authorized official title is Ceo and has the following contact phone number (712) 755-4315.

The CLIA number assigned to this NPI record is 16D0707940 - ambulance with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 8/22/2006 and was last updated on 12/13/2010.

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
1282NC0060XGeneral Acute Care HospitalCritical Access830103HIOWAYes

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
10600312MEDICAIDIOWA
260031OTHERIOWABLUE CROSS BLUE SHIELD
3161374MEDICARE OSCAR/CERTIFICATIONIOWA

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: 3/30/2025

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