Healthcare Provider Details

I. General information

NPI: 1811046568
Provider Name (Legal Business Name): RINGGOLD COUNTY HOSPITAL
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 01/10/2007
Last Update Date: 11/24/2009
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

504 N. CLEVELAND ST.
MOUNT AYR IA
50854-2201
US

IV. Provider business mailing address

504 N. CLEVELAND ST.
MOUNT AYR IA
50854-2201
US

V. Phone/Fax

Practice location:
  • Phone: 641-464-3226
  • Fax: 641-464-4421
Mailing address:
  • Phone: 641-464-3226
  • Fax: 641-464-4421

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code282NC0060X
TaxonomyCritical Access Hospital
License Number800167H
License Number StateIA

VIII. Authorized Official

Name: MRS. TERESA ANN ROBERTS
Title or Position: CFO
Credential:
Phone: 641-464-3226