Healthcare Provider Details

I. General information

NPI: 1801966585
Provider Name (Legal Business Name): VAN BUREN COUNTY HOSPITAL
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 11/09/2006
Last Update Date: 10/11/2014
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

14204 HIGHWAY 98
DOUDS IA
52551-8158
US

IV. Provider business mailing address

304 FRANKLIN ST
KEOSAUQUA IA
52565-1164
US

V. Phone/Fax

Practice location:
  • Phone: 641-936-7107
  • Fax: 641-936-7176
Mailing address:
  • Phone: 319-293-3171
  • Fax: 319-293-3473

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261QR1300X
TaxonomyRural Health Clinic/Center
License Number
License Number State

VIII. Authorized Official

Name: MS. KARA M. MCENTEE
Title or Position: CFO
Credential:
Phone: 319-293-3171