Healthcare Provider Details

I. General information

NPI: 1457337263
Provider Name (Legal Business Name): MARY GREELEY MEDICAL CENTER
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 12/22/2005
Last Update Date: 11/21/2025
Certification Date: 11/21/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1111 DUFF AVE
AMES IA
50010-5745
US

IV. Provider business mailing address

1111 DUFF AVE
AMES IA
50010-5745
US

V. Phone/Fax

Practice location:
  • Phone: 515-956-6000
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code251G00000X
TaxonomyCommunity Based Hospice Care Agency
License Number
License Number State

VIII. Authorized Official

Name: MRS. AMBER DEARDORFF
Title or Position: PRESIDENT AND CEO
Credential:
Phone: 515-239-2105