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General NPI Number Information
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NPI Number | 1447470463
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Entity Type | Organization
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Legal Business Name | MARY GREELEY MEDICAL CENTER
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Dates
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Enumeration Date | 05/01/2007
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Last Update Date | 11/21/2025
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Provider Practice Location Address
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Address Line | 1111 DUFF AVE
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City | AMES
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State | IA
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Zip | 50010-5745
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Country | US
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Telephone | 515-239-2011
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Fax | 515-239-2060
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Provider Business Mailing Address
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Address Line | 1111 DUFF AVE
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City | AMES
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State | IA
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Zip | 50010-5745
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Country | US
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Telephone | 515-239-2112
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Fax | 515-239-2060
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Authorized Official
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Title or Position | PRESIDENT, CEO
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Name | AMBER DEARDORFF
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Credential |
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Telephone | 515-239-2105
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 3416L0300X
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Taxonomy Name | Land Ambulance
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License Number | 2850100
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License Number State | IA
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