Healthcare Provider Details
I. General information
NPI: 1417991316
Provider Name (Legal Business Name): REGIONAL HEALTH SERVICES OF HOWARD COUNTY
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 06/15/2006
Last Update Date: 02/14/2024
Certification Date: 02/14/2024
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
- Phone: 563-547-2101
- Fax: 563-547-3448
- Phone: 563-547-2101
- Fax: 563-547-3448
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 282NC0060X |
| Taxonomy | Critical Access Hospital |
| License Number | 450057H |
| License Number State | IA |
| # 2 | |
| Primary Taxonomy | N |
| Taxonomy Code | 3416L0300X |
| Taxonomy | Land Ambulance |
| License Number | |
| License Number State | |
VIII. Authorized Official
Name:
BRANDON
BREVIG
Title or Position: CFO
Credential:
Phone: 563-547-6677