Healthcare Provider Details

I. General information

NPI: 1932876851
Provider Name (Legal Business Name): STORY COUNTY HOSPITAL
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/27/2021
Last Update Date: 08/27/2021
Certification Date: 08/27/2021
Deactivation Date:
Reactivation Date:

III. Provider practice location address

403 1ST ST
MAXWELL IA
50161-7700
US

IV. Provider business mailing address

403 1ST ST
MAXWELL IA
50161-7700
US

V. Phone/Fax

Practice location:
  • Phone: 952-653-2525
  • Fax: 952-653-2540
Mailing address:
  • Phone: 952-653-2525
  • Fax: 952-653-2540

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code332900000X
TaxonomyNon-Pharmacy Dispensing Site
License Number
License Number State

VIII. Authorized Official

Name: JANE DARLIEN RAMTHUN
Title or Position: AO
Credential:
Phone: 515-382-2111