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General NPI Number Information
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NPI Number | 1679556377
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Entity Type | Organization
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Legal Business Name | GREEN HILLS HEALTH CARE CENTER, INC
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Dates
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Enumeration Date | 11/28/2005
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Last Update Date | 09/21/2015
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Provider Practice Location Address
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Address Line | 2210 HAMILTON DR
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City | AMES
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State | IA
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Zip | 50014-8287
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Country | US
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Telephone | 515-296-5100
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Fax | 515-296-5125
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Provider Business Mailing Address
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Address Line | 2200 HAMILTON DR STE 100
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City | AMES
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State | IA
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Zip | 50014-8209
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Country | US
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Telephone | 515-296-5000
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Fax | 515-296-5008
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Authorized Official
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Title or Position | PRESIDENT, BOARD OF DIRECTORS
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Name | ELEANOR R MATHEWS
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Credential |
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Telephone | 515-268-5202
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 313M00000X
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Taxonomy Name | Nursing Facility/Intermediate Care Facility
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License Number | 850536
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License Number State | IA
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