Great River Medical Center

LBN: Southeast Iowa Regional Medical Center, Inc.
Great River Medical Center is an health care organization with primary practice located at 1221 S Gear Ave , West Burlington IA 52655-1679. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / General Practice, 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 via phone (319) 768-3268.

Contact Information

Primary practice address
1221 S Gear Ave West Burlington IA 52655-1679
Phone: (319) 768-3626
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Mccoy, Michael
Phone: (319) 768-3268

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / General Practice 208D00000X

Profile Details

NPI number 1164433884
LBN Legal business name Southeast Iowa Regional Medical Center, Inc.
DBA Doing business as Great River Medical Center
Authorized official Mccoy, Michael
Entity Organization
Organization subpart 1 No
Enumeration date Aug 10th, 2006
Last updated Oct 18th, 2022 - about 2 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 1164433884 NPPES
Iowa MEDICAID 0121129
Iowa Other CH2540
Iowa Other 35449

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