Healthcare Provider Details

I. General information

NPI: 1467404103
Provider Name (Legal Business Name): HENRY COUNTY SOLDIERS' AND SAILORS' MEMORIAL HOSPITAL
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/17/2006
Last Update Date: 03/11/2026
Certification Date: 03/11/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

407 S WHITE ST
MT PLEASANT IA
52641-2262
US

IV. Provider business mailing address

407 S WHITE ST
MT PLEASANT IA
52641-2262
US

V. Phone/Fax

Practice location:
  • Phone: 319-385-3141
  • Fax: 319-385-6571
Mailing address:
  • Phone: 319-385-3141
  • Fax: 319-385-6571

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code207V00000X
TaxonomyObstetrics & Gynecology Physician
License Number38188
License Number StateIA
# 2
Primary TaxonomyN
Taxonomy Code207RH0003X
TaxonomyHematology & Oncology Physician
License Number
License Number State
# 3
Primary TaxonomyN
Taxonomy Code208600000X
TaxonomySurgery Physician
License Number
License Number State
# 4
Primary TaxonomyN
Taxonomy Code207P00000X
TaxonomyEmergency Medicine Physician
License Number
License Number State
# 5
Primary TaxonomyY
Taxonomy Code261QR1300X
TaxonomyRural Health Clinic/Center
License Number
License Number State

VIII. Authorized Official

Name: BRANDY MICHELLE WILLIAMS-LOWE
Title or Position: MANAGER FINANCE
Credential:
Phone: 319-385-6529