Great River Home Health And Hospice

LBN: Southeast Iowa Regional Medical Center, Inc.
Great River Home Health And Hospice is an health care organization with primary practice located at 1306 S Washington Rd , West Burlington IA 52655-1703. The organization recently has only one registered license in Agencies / Hospice Care, Community Based, which is considered as the primary health care specialty. Southeast Iowa Regional Medical Center, Inc. can be contacted via phone (319) 768-3626, or through Mccoy, Michael J via phone (319) 768-6268.

Contact Information

Primary practice address
1306 S Washington Rd West Burlington IA 52655-1703
Fax: (319) 768-3633
Website:
Authorized official contact:
Name: Mccoy, Michael J Doctor of Medicine (MD)

Health care specialties

SpecialtyCodeLicense #State
Agencies / Hospice Care, Community Based 251G00000X 290147H Iowa

Profile Details

NPI number 1053315002
LBN Legal business name Southeast Iowa Regional Medical Center, Inc.
DBA Doing business as Great River Home Health And Hospice
Authorized official Mccoy, Michael J Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 No
Enumeration date Jun 8th, 2005
Last updated Oct 17th, 2022 - about 3 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1053315002 NPPES
Iowa Other 161567 COMMERCIAL
Iowa Other 61567 COMMERCIAL

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