MARY GREELEY MEDICAL CENTER NPI 1376529172

NPI Information

NPI: 1376529172
Provider Name: MARY GREELEY MEDICAL CENTER
Classification: Clinic/Center - 261QE0700X
Entity Type: Organization

Specialization: End-Stage Renal Disease (ESRD) Treatment

Address:
3120 SO 2ND STREET
MARSHALLTOWN, IA
ZIP 50158
Phone: (641) 752-1819
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MARY GREELEY MEDICAL CENTER is an end-stage renal disease (esrd) treatment clinic center in Marshalltown, IA. MARY GREELEY MEDICAL CENTER NPI is 1376529172. The provider is registered as an organization entity type.

The provider's business location address is:

3120 SO 2ND STREET
MARSHALLTOWN, IA
ZIP 50158-614
Phone: (641) 752-1819
Fax: (641) 752-4836

The provider's authorized official is Brian R Dieter .
The authorized official title is President And Ceo and has the following contact phone number (515) 239-2011.

The enumeration date for this NPI number is 12/22/2005 and was last updated on 12/29/2008.

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	261QE0700X	Clinic/Center	End-Stage Renal Disease (ESRD) Treatment			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	163501	MEDICARE OSCAR/CERTIFICATION	IOWA
2	0600304	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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