Healthcare Provider Details

I. General information

NPI: 1124474044
Provider Name (Legal Business Name): HAMILTON COUNTY PUBLIC HOSPITAL
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/10/2016
Last Update Date: 05/10/2016
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2350 HOSPITAL DR
WEBSTER CITY IA
50595-6600
US

IV. Provider business mailing address

2350 HOSPITAL DR PO BOX 0430
WEBSTER CITY IA
50595-6600
US

V. Phone/Fax

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

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261QC0050X
TaxonomyCritical Access Hospital Clinic/Center
License Number400120H
License Number StateIA
# 2
Primary TaxonomyN
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License Number
License Number StateNULL

VIII. Authorized Official

Name: ALICE HEINRICHS
Title or Position: CHIEF FINANCIAL OFFICER
Credential:
Phone: 515-832-7751