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Pella Regional Health Center

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

NPI number1497413637
StatusActive
Last updated in NPPESDec 6, 2022

Details

NPI
1497413637
Entity type
Organization (NPI-2)
Legal business name
Pella Regional Health Center
Organization subpart
No
Enumeration date
Dec 6, 2021
Certification date
Dec 6, 2022
Last updated
Dec 6, 2022

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
261QR1300X Clinic/Center, Rural Health––Yes

Other names

  • Prairie City Medical Clinic (Doing Business As)

Practice location

404 East 2nd Street
Prairie City, IA 50228-8829

Phone 515-994-2617 · Fax 515-994-2365

Mailing address

404 East 2nd Street
Prairie City, IA 50228-8829

Phone 515-994-2617 · Fax 515-994-2365

Authorized official

Robert D. Kroese
Ceo
6416286604

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