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NPI Code Detail

MEDICARE: GRINNELL REGIONAL MEDICAL CENTER

MEDICARE: GRINNELL REGIONAL MEDICAL CENTER
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1363A00000XPhysician Assistant
2207Q00000XFamily Medicine Physician

General Provider Information

NPI Number : 1023498573
Entity Type Code : Organization
Provider Name (Legal Business Name) : GRINNELL REGIONAL MEDICAL CENTER
Provider Business Mailing Address
First Line : 210 4TH AVE
Second Line :
City : GRINNELL
State : IA
Zip : 50112-1898
Country : US
Telephone Number : 641-236-7511
Fax Number : 641-236-2995
Provider Business Practice Location Address
First Line : 401 1ST AVE
Second Line :
City : TOLEDO
State : IA
Zip : 52342-2129
Country : US
Telephone Number : 641-484-2602
Fax Number : 641-484-6837
Authorized Official
Title or Position : PRESIDENT & CEO
Name : TODD C LINDEN
Credential :
Telephone Number : 641-236-7511
Provider Enumeration Date : 05/30/2015
Last Update Date : 08/03/2015

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Directions to “GRINNELL REGIONAL MEDICAL CENTER ” Practice Location

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