Healthcare Provider Details

I. General information

NPI: 1588492862
Provider Name (Legal Business Name): KEOKUK COUNTY HEALTH CENTER
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/26/2024
Last Update Date: 12/19/2025
Certification Date: 12/19/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

115 N MAIN ST
HEDRICK IA
52563
US

IV. Provider business mailing address

23019 HIGHWAY 149
SIGOURNEY IA
52591-1194
US

V. Phone/Fax

Practice location:
  • Phone: 641-653-2437
  • Fax:
Mailing address:
  • Phone: 641-622-1148
  • Fax: 641-210-4593

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code261QP2300X
TaxonomyPrimary Care Clinic/Center
License Number
License Number State
# 2
Primary TaxonomyY
Taxonomy Code261QR1300X
TaxonomyRural Health Clinic/Center
License Number
License Number State

VIII. Authorized Official

Name: MATTHEW J IVES
Title or Position: ADMINISTRATOR
Credential: CEO/CFO
Phone: 641-622-1155