Healthcare Provider Details

I. General information

NPI: 1982248423
Provider Name (Legal Business Name): IOWA SPECIALTY HOSPITAL - CLARION
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 10/28/2019
Last Update Date: 03/02/2022
Certification Date: 03/02/2022
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1924 SUPERIOR ST
WEBSTER CITY IA
50595-3146
US

IV. Provider business mailing address

1316 S MAIN ST
CLARION IA
50525-2019
US

V. Phone/Fax

Practice location:
  • Phone: 515-832-3332
  • Fax: 515-832-1114
Mailing address:
  • Phone: 515-532-2811
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261QR1300X
TaxonomyRural Health Clinic/Center
License Number
License Number State

VIII. Authorized Official

Name: STEVEN SIMONIN
Title or Position: CEO
Credential:
Phone: 515-532-9333