SHELBY COUNTY CHRIS A. MYRTUE MEMORIAL HOSPITAL NPI 1922184175

NPI Information

NPI: 1922184175
Provider Name: SHELBY COUNTY CHRIS A. MYRTUE MEMORIAL HOSPITAL

Doing Business As: MYRTUE MEDICAL CENTER

Classification: Family Medicine - 207Q00000X
Entity Type: Organization
Address:
1213 GARFIELD AVE
HARLAN, IA
ZIP 51537
Phone: (712) 755-5161
Get Directions

SHELBY COUNTY CHRIS A. MYRTUE MEMORIAL HOSPITAL is a family medicine in Harlan, 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. SHELBY COUNTY CHRIS A. MYRTUE MEMORIAL HOSPITAL NPI is 1922184175. The provider is registered as an organization entity type and is a multi-specialty group.
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) 755-4312

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 enumeration date for this NPI number is 10/31/2006 and was last updated on 5/3/2021.

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	Primary
1	103T00000X	Psychologist		No
2	1041C0700X	Social Worker	Clinical	No
3	207Q00000X	Family Medicine		Yes
4	207R00000X	Internal Medicine		No
5	207RX0202X	Internal Medicine	Medical Oncology	No
6	208000000X	Pediatrics		No
7	208600000X	Surgery		No
8	363A00000X	Physician Assistant		No
9	363L00000X	Nurse Practitioner		No

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	020121574	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

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.

« Previous NPI

Next NPI »