Healthcare Provider Details

I. General information

NPI: 1730283326
Provider Name (Legal Business Name): REGIONAL HEALTH SERVICES OF HOWARD COUNTY
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 09/12/2006
Last Update Date: 02/13/2024
Certification Date: 02/13/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

235 8TH AVE W
CRESCO IA
52136-1062
US

IV. Provider business mailing address

235 8TH AVE W
CRESCO IA
52136-1062
US

V. Phone/Fax

Practice location:
  • Phone: 563-547-2101
  • Fax:
Mailing address:
  • Phone: 563-547-2101
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code261QM1300X
TaxonomyMulti-Specialty Clinic/Center
License Number
License Number State
# 2
Primary TaxonomyY
Taxonomy Code282NC0060X
TaxonomyCritical Access Hospital
License Number
License Number State

VII. Legacy identifiers

For crosswalk purposes, the following legacy (non-NPI) identifiers are available for this provider:

# 1
Identifier0194944
Identifier TypeMEDICAID
Identifier StateIA
Identifier Issuer
# 2
Identifier194944
Identifier TypeOTHER
Identifier StateIA
Identifier IssuerBLUE CROSS

VIII. Authorized Official

Name: BRANDON T BREVIG
Title or Position: CFO
Credential:
Phone: 563-547-6677