Healthcare Provider Details

I. General information

NPI: 1124141999
Provider Name (Legal Business Name): MANNING REGIONAL HEALTHCARE CENTER
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 04/09/2007
Last Update Date: 02/27/2015
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

402 MAIN ST
MANNING IA
51455-1033
US

IV. Provider business mailing address

402 MAIN ST
MANNING IA
51455-1033
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 Code313M00000X
TaxonomyNursing Facility/Intermediate Care Facility
License Number140058H
License Number StateIA

VIII. Authorized Official

Name: JOHN OBRIEN
Title or Position: CEO
Credential:
Phone: 17126552072