MEDICARE: VAN BUREN COUNTY HOSPITAL

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
1	261QR1300X	Rural Health Clinic/Center

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1962580944
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	VAN BUREN COUNTY HOSPITAL

Provider Business Mailing Address
First Line	:	304 FRANKLIN ST
Second Line	:
City	:	KEOSAUQUA
State	:	IA
Zip	:	52565-1164
Country	:	US
Telephone Number	:	319-293-3171
Fax Number	:	319-293-6241

Provider Business Practice Location Address
First Line	:	624 1ST ST
Second Line	:
City	:	BONAPARTE
State	:	IA
Zip	:	52620-1012
Country	:	US
Telephone Number	:	319-592-3168
Fax Number	:	319-592-3349

Authorized Official
Title or Position	:	CFO
Name	:	MS. KARA M. MCENTEE
Credential	:
Telephone Number	:	319-293-3171

Provider Enumeration Date	:	11/01/2006
Last Update Date	:	05/29/2014

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Directions to “VAN BUREN COUNTY HOSPITAL ” Practice Location

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