Healthcare Provider Details

I. General information

NPI: 1114269339
Provider Name (Legal Business Name): BELMOND COMMUNITY HOSPITAL
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 03/26/2013
Last Update Date: 01/20/2020
Certification Date: 01/20/2020
Deactivation Date:
Reactivation Date:

III. Provider practice location address

700 2ND ST SE SUITE 101
HAMPTON IA
50441-2655
US

IV. Provider business mailing address

403 1ST ST SE
BELMOND IA
50421-1201
US

V. Phone/Fax

Practice location:
  • Phone: 641-812-1094
  • Fax: 641-812-1096
Mailing address:
  • Phone: 641-444-3500
  • Fax: 641-444-5554

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261QR1300X
TaxonomyRural Health Clinic/Center
License Number990169H
License Number StateIA

VIII. Authorized Official

Name: AMY MCDANIEL
Title or Position: CFO
Credential:
Phone: 641-444-5621