MEDICARE: HAWARDEN REGIONAL HEALTHCARE

Medicare Provider Information

Scope of Practice

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

#	Taxonomy Code	Taxonomy
1	207Q00000X	Family Medicine Physician
2	363A00000X	Physician Assistant
3	363L00000X	Nurse Practitioner
4	261QR1300X	Rural Health Clinic/Center

General Provider Information

NPI Number	:	1487289955
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	HAWARDEN REGIONAL HEALTHCARE

Provider Business Mailing Address
First Line	:	1111 11TH ST
Second Line	:
City	:	HAWARDEN
State	:	IA
Zip	:	51023-1903
Country	:	US
Telephone Number	:	712-551-3100
Fax Number	:	712-551-3195

Provider Business Practice Location Address
First Line	:	321 MILL ST
Second Line	:
City	:	AKRON
State	:	IA
Zip	:	51001-7712
Country	:	US
Telephone Number	:	712-568-2411
Fax Number	:

Authorized Official
Title or Position	:	CEO
Name	:	MR. JAYSON PULLMAN
Credential	:
Telephone Number	:	712-551-3100

Provider Enumeration Date	:	03/05/2020
Last Update Date	:	03/16/2020

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Directions to “HAWARDEN REGIONAL HEALTHCARE ” Practice Location

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