VAN BUREN COUNTY HOSPITAL NPI 1831260280

NPI Information

NPI: 1831260280
Provider Name: VAN BUREN COUNTY HOSPITAL

Doing Business As: KEOSAUQUA MEDICAL CLINIC

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

Specialization: Rural Health

Address:
304 FRANKLIN ST
KEOSAUQUA, IA
ZIP 52565
Phone: (319) 293-3171
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VAN BUREN COUNTY HOSPITAL is a rural health clinic center in Keosauqua, IA. VAN BUREN COUNTY HOSPITAL NPI is 1831260280. The provider is registered as an organization entity type.
The provider Is Doing Business As Keosauqua Medical Clinic.

The provider's business location address is:

304 FRANKLIN ST
KEOSAUQUA, IA
ZIP 52565-164
Phone: (319) 293-3171
Fax: (319) 293-6241

The provider's authorized official is Kara M. Mcentee .
The authorized official title is Cfo and has the following contact phone number (319) 293-3171.

The CLIA number assigned to this NPI record is 16D0387220 - rural health clinic with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 11/9/2006 and was last updated on 11/14/2013.

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			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	0634535	MEDICAID	IOWA
2	163453	MEDICARE OSCAR/CERTIFICATION	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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