Organization · Type 2 NPI

Crawford County Memorial Hospital

Medical Physician Assistant · Manilla, IA

NPI number 1730359878 Active

Practice location

542 Main Street
Manilla, IA 51454-0000

Call (712) 654-2400 Map

Mailing address

2016 1st Ave S
Denison, IA 51442-2210

Specialties and licenses

Taxonomy	Code	License
Family Medicine Physician	207Q00000X	None listed
Medical Physician Assistant Primary	363AM0700X	None listed
Nurse Practitioner	363L00000X	None listed

Medical Physician Assistant: Definition to come...

NPI record

NPI: 1730359878
Entity type: Organization (Type 2)
Issued: Mar 5, 2008
Last updated: Mar 5, 2008
Status: Active
Subpart: Yes of Crawford County Memorial Hospital

Other names

<unavail>
Family Practice & Surgical Specialists · other name

Authorized official

Mr. Mark H. Rinehardt
Administrator/ceo
(712) 263-1620

Verify this record

This page mirrors the public NPPES file. For credentialing or billing, confirm it on the official CMS NPI Registry, and check the license with the state board.

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About NPI 1730359878

Crawford County Memorial Hospital's National Provider Identifier is 1730359878, issued on Mar 5, 2008. The primary taxonomy on file is Medical Physician Assistant (363AM0700X), and the practice location is in Manilla, IA. The record was last updated on Mar 5, 2008.