Healthcare Provider Details

I. General information

NPI: 1528349719
Provider Name (Legal Business Name): GUTHRIE COUNTY HOSPITAL
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 09/01/2011
Last Update Date: 10/25/2023
Certification Date: 10/25/2023
Deactivation Date:
Reactivation Date:

III. Provider practice location address

312 N FREMONT ST STE A
STUART IA
50250-2083
US

IV. Provider business mailing address

710 N 12TH ST
GUTHRIE CENTER IA
50115-1549
US

V. Phone/Fax

Practice location:
  • Phone: 515-523-8050
  • Fax: 641-332-3910
Mailing address:
  • Phone: 641-332-2201
  • Fax: 641-332-2702

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License Number
License Number State
# 2
Primary TaxonomyY
Taxonomy Code261QR1300X
TaxonomyRural Health Clinic/Center
License Number
License Number StateIA

VIII. Authorized Official

Name: MR. CHRISTOPHER R STIPE
Title or Position: CEO
Credential:
Phone: 641-332-2201