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 / Home Health, 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
1306 S Washington Rd West Burlington IA 52655-1703
Phone: (319) 768-3626
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Mccoy, Michael
Phone: (319) 768-3268

Health care specialties

SpecialtyCodeLicense #State
Agencies / Home Health 251E00000X 290147H Iowa

Profile Details

NPI number 1760461644
LBN Legal business name Southeast Iowa Regional Medical Center, Inc.
DBA Doing business as Great River Home Health And Hospice
Authorized official Mccoy, Michael
Entity Organization
Organization subpart 1 No
Enumeration date Jan 10th, 2006
Last updated Oct 18th, 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 1760461644 NPPES
Iowa MEDICAID 0671362
Iowa Other 67136

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