Healthcare Provider Details

I. General information

NPI: 1184538639
Provider Name (Legal Business Name): WAYNE COUNTY HOSPITAL
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 10/01/2026
Last Update Date: 10/01/2026
Certification Date: 10/01/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

707 S MAIN ST
CENTERVILLE IA
52544-2421
US

IV. Provider business mailing address

PO BOX 283
CORYDON IA
50060-0283
US

V. Phone/Fax

Practice location:
  • Phone: 641-437-4344
  • Fax: 641-872-3116
Mailing address:
  • Phone: 641-872-5277
  • Fax: 641-872-3116

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207Q00000X
TaxonomyFamily Medicine Physician
License Number
License Number StateNULL

VIII. Authorized Official

Name: DENISE ANNE HOOK
Title or Position: CFO
Credential:
Phone: 641-872-2260