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General NPI Number Information
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NPI Number | 1932139359
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Entity Type | Organization
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Legal Business Name | GUTTENBERG MUNICIPAL HOSPITAL
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Dates
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Enumeration Date | 07/03/2006
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Last Update Date | 10/24/2024
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Provider Practice Location Address
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Address Line | 200 MAIN ST
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City | GUTTENBERG
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State | IA
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Zip | 52052
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Country | US
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Telephone | 563-252-1121
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Fax | 563-252-5547
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Provider Business Mailing Address
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Address Line | PO BOX 550
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City | GUTTENBERG
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State | IA
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Zip | 52052-0550
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Country | US
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Telephone | 563-252-1121
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Fax | 563-252-5547
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Authorized Official
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Title or Position | CREDENTIALING SPECIALIST
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Name | SUSAN STAGMAN
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Credential | RHIT
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Telephone | 563-252-1121
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 341600000X
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Taxonomy Name | Ambulance
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 282NC0060X
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Taxonomy Name | Critical Access Hospital
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License Number | 220134H
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License Number State | IA
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