Healthcare Provider Details
I. General information
NPI: 1982691002
Provider Name (Legal Business Name): HENRY COUNTY SOLDIERS' AND SAILORS' MEMORIAL HOSPITAL
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 10/04/2005
Last Update Date: 03/21/2025
Certification Date: 03/21/2025
Deactivation Date:
Reactivation Date:
III. Provider practice location address
401 S VAN BUREN ST
MOUNT PLEASANT IA
52641-2232
US
IV. Provider business mailing address
407 S WHITE ST
MT PLEASANT IA
52641-2263
US
V. Phone/Fax
- Phone: 319-385-5350
- Fax:
- Phone: 319-385-3141
- Fax: 319-385-6571
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 314000000X |
| Taxonomy | Skilled Nursing Facility |
| License Number | |
| License Number State | |
VIII. Authorized Official
Name:
BRANDY
WILLIAMS-LOWE
Title or Position: MANAGER-FINANCE
Credential:
Phone: 319-385-6529