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General NPI Number Information
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NPI Number | 1962654921
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Entity Type | Organization
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Legal Business Name | GUTHRIE COUNTY HOSPITAL
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Dates
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Enumeration Date | 10/21/2008
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Last Update Date | 10/25/2023
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Provider Practice Location Address
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Address Line | 103 SE 13TH ST
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City | PANORA
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State | IA
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Zip | 50216-4500
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Country | US
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Telephone | 641-755-4000
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Fax | 641-755-3541
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Provider Business Mailing Address
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Address Line | 710 N 12TH ST
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City | GUTHRIE CENTER
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State | IA
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Zip | 50115-1549
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Country | US
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Telephone | 641-332-2201
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Fax | 641-332-2702
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Authorized Official
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Title or Position | CEO
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Name | MR. CHRISTOPHER R STIPE
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Credential |
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Telephone | 641-332-2201
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QR1300X
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Taxonomy Name | Rural Health Clinic/Center
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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 | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number | 28764
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License Number State | IA
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