Healthcare Provider Details

I. General information

NPI: 1467509141
Provider Name (Legal Business Name): MANNING REGIONAL HEALTHCARE CENTER
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 01/04/2007
Last Update Date: 02/27/2015
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1550 6TH ST
MANNING IA
51455-1004
US

IV. Provider business mailing address

1550 6TH ST
MANNING IA
51455-1004
US

V. Phone/Fax

Practice location:
  • Phone: 712-655-2072
  • Fax: 712-655-3330
Mailing address:
  • Phone: 712-655-2072
  • Fax: 712-655-3330

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code282NC0060X
TaxonomyCritical Access Hospital
License Number140058H
License Number StateIA

VIII. Authorized Official

Name: JOHN L O'BRIEN
Title or Position: CEO
Credential:
Phone: 712-655-2072