Healthcare Provider Details

I. General information

NPI: 1174968697
Provider Name (Legal Business Name): HAMILTON COUNTY PUBLIC HOSPITAL
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/10/2013
Last Update Date: 04/09/2021
Certification Date: 04/09/2021
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2350 HOSPITAL DR STE A
WEBSTER CITY IA
50595-6600
US

IV. Provider business mailing address

PO BOX 430
WEBSTER CITY IA
50595-0430
US

V. Phone/Fax

Practice location:
  • Phone: 515-832-7800
  • Fax: 515-832-9498
Mailing address:
  • Phone: 515-832-9400
  • Fax: 515-832-9420

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code176B00000X
TaxonomyMidwife
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code207Q00000X
TaxonomyFamily Medicine Physician
License Number
License Number State
# 3
Primary TaxonomyY
Taxonomy Code261QR1300X
TaxonomyRural Health Clinic/Center
License Number
License Number State
# 4
Primary TaxonomyN
Taxonomy Code363A00000X
TaxonomyPhysician Assistant
License Number
License Number State
# 5
Primary TaxonomyN
Taxonomy Code363L00000X
TaxonomyNurse Practitioner
License Number
License Number State

VIII. Authorized Official

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