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NPI Code Detail

MEDICARE: STEWART MEMORIAL COMMUNITY HOSPITAL

MEDICARE: STEWART MEMORIAL COMMUNITY HOSPITAL
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1282NC0060XCritical Access Hospital130029HIA

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1063497188
Entity Type Code : Organization
Provider Name (Legal Business Name) : STEWART MEMORIAL COMMUNITY HOSPITAL
Provider Business Mailing Address
First Line : 1301 W MAIN ST
Second Line :
City : LAKE CITY
State : IA
Zip : 51449-1585
Country : US
Telephone Number : 712-464-3171
Fax Number : 712-464-3269
Provider Business Practice Location Address
First Line : 1301 W MAIN ST
Second Line :
City : LAKE CITY
State : IA
Zip : 51449-1585
Country : US
Telephone Number : 712-464-3171
Fax Number : 712-464-3269
Authorized Official
Title or Position : CFO
Name : MR. JAMES L. HENKENIUS
Credential :
Telephone Number : 712-464-4200
Provider Enumeration Date : 12/12/2005
Last Update Date : 03/05/2024

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Directions to “STEWART MEMORIAL COMMUNITY HOSPITAL ” Practice Location

Language Start Address Practice Location
These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

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