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General NPI Number Information
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NPI Number | 1275513988
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Entity Type | Organization
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Legal Business Name | MAHASKA COUNTY HOSPITAL
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Dates
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Enumeration Date | 01/19/2006
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Last Update Date | 10/28/2024
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Provider Practice Location Address
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Address Line | 1229 C AVE E
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City | OSKALOOSA
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State | IA
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Zip | 52577-4298
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Country | US
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Telephone | 641-672-3100
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Fax | 641-672-3336
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Provider Business Mailing Address
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Address Line | 1229 C AVE E
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City | OSKALOOSA
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State | IA
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Zip | 52577-4298
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Country | US
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Telephone | 641-672-3100
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Fax | 641-672-3336
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Authorized Official
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Title or Position | CEO
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Name | KEVIN DERONDE
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Credential |
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Telephone | 402-691-5528
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 282NC0060X
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Taxonomy Name | Critical Access Hospital
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License Number | 620092H
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License Number State | IA
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Taxonomy #2
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Taxonomy Code | 275N00000X
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Taxonomy Name | Medicare Defined Swing Bed Hospital Unit
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License Number | 620092H
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License Number State | IA
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