Healthcare Provider Details

I. General information

NPI: 1497957351
Provider Name (Legal Business Name): HAMILTON COUNTY PUBLIC HOSPITAL
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 06/04/2007
Last Update Date: 07/21/2022
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

817 SHAKESPEARE AVE
STRATFORD IA
50249-7774
US

IV. Provider business mailing address

PO BOX 430
WEBSTER CITY IA
50595-0430
US

V. Phone/Fax

Practice location:
  • Phone: 515-838-2100
  • Fax:
Mailing address:
  • Phone: 515-832-9400
  • Fax: 515-832-9420

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code207Q00000X
TaxonomyFamily Medicine Physician
License Number
License Number State
# 2
Primary TaxonomyY
Taxonomy Code261QR1300X
TaxonomyRural Health Clinic/Center
License Number
License Number State
# 3
Primary TaxonomyN
Taxonomy Code363A00000X
TaxonomyPhysician Assistant
License Number
License Number State
# 4
Primary TaxonomyN
Taxonomy Code363L00000X
TaxonomyNurse Practitioner
License Number
License Number State

VIII. Authorized Official

Name: ALICE HEINRICHS
Title or Position: CFO
Credential: CFO
Phone: 515-832-9400