Healthcare Provider Details

I. General information

NPI: 1295910032
Provider Name (Legal Business Name): GUTHRIE COUNTY HOSPTIAL
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 12/28/2007
Last Update Date: 03/08/2021
Certification Date: 03/08/2021
Deactivation Date:
Reactivation Date:

III. Provider practice location address

710 N 12TH ST
GUTHRIE CENTER IA
50115-1544
US

IV. Provider business mailing address

710 N 12TH ST
GUTHRIE CENTER IA
50115-1544
US

V. Phone/Fax

Practice location:
  • Phone: 641-332-2201
  • Fax: 641-332-2276
Mailing address:
  • Phone: 641-332-2201
  • Fax: 641-332-2276

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code332U00000X
TaxonomyHome Delivered Meals
License Number
License Number State

VIII. Authorized Official

Name: MR. PATRICK J PETERS
Title or Position: CEO
Credential:
Phone: 641-332-2201