SHENANDOAH MEDICAL CENTER NPI 1700941648

NPI Information

NPI: 1700941648
Provider Name: SHENANDOAH MEDICAL CENTER

Doing Business As: SHENANDOAH PHYSICIANS CLINIC

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

Specialization: Rural Health

Address:
802 ILLINOIS ST
SIDNEY, IA
ZIP 51652
Phone: (712) 374-6005
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SHENANDOAH MEDICAL CENTER is a rural health clinic center in Sidney, IA. SHENANDOAH MEDICAL CENTER NPI is 1700941648. The provider is registered as an organization entity type.
The provider Is Doing Business As Shenandoah Physicians Clinic.

The provider's business location address is:

802 ILLINOIS ST
SIDNEY, IA
ZIP 51652-217
Phone: (712) 374-6005
Fax: (712) 374-2301

The provider's authorized official is Karen Cole .
The authorized official title is Ceo and has the following contact phone number (712) 246-1230.

The CLIA number assigned to this NPI record is 16D1028330 - physician office with a certificate type of Certificate for Provider-Performed Microscopy Procedures (PPMP).

The enumeration date for this NPI number is 12/22/2006 and was last updated on 10/25/2012.

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	730065H	IOWA	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	I12503	MEDICARE ID-TYPE UNSPECIFIED	IOWA	MEDICARE PROVIDER NUMBER

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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