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 Suppliers / Home Delivered Meals, which is considered as the primary health care specialty. Southeast Iowa Regional Medical Center, Inc. can be contacted via phone (319) 768-3628, or through Mccoy, Michael via phone (319) 768-1000.

Contact Information

Primary practice address
1221 S Gear Ave West Burlington IA 52655-1679
Phone: (319) 768-3628
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Mccoy, Michael
Phone: (319) 768-1000

Health care specialties

SpecialtyCodeLicense #State
Suppliers / Home Delivered Meals 332U00000X

Profile Details

NPI number 1598744476
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 Yes
Enumeration date Jan 10th, 2006
Last updated Apr 3rd, 2024 - about last year

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.

Request for update

Identifiers

StateTypeNumberIssuer
All States NPI 1598744476 NPPES
Iowa MEDICAID 0111971

Popular Providers