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Greater Regional Medical Center

Clinic/Center, Rural Health in Lenox, IA. Organization (NPI-2).

NPI number1346353323
StatusActive
Last updated in NPPESApr 24, 2013

Details

NPI
1346353323
Entity type
Organization (NPI-2)
Legal business name
Greater Regional Medical Center
Organization subpart
No
Enumeration date
Aug 16, 2006
Last updated
Apr 24, 2013

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
261QR1300X Clinic/Center, Rural Health––Yes
363LF0000X Nurse Practitioner, Family––

Other names

  • Lenox Medical Clinic (Doing Business As)

Practice location

100 S Main St
Lenox, IA 50851-1240

Phone 641-333-4545 · Fax 641-333-4547

Mailing address

1700 W Townline St
Creston, IA 50801-1054

Phone 641-782-7091 · Fax 641-782-3830

Authorized official

Matthew L McCutchan
Cfo
6417823899

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