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NPI Code Detail

MEDICARE: LORING HOSPITAL

MEDICARE: LORING 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
1251E00000XHome Health Agency

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
267172OTHERIABCBS HOME HEALTH

General Provider Information

NPI Number : 1114076445
Entity Type Code : Organization
Provider Name (Legal Business Name) : LORING HOSPITAL
Provider Business Mailing Address
First Line : 211 HIGHLAND AVE
Second Line :
City : SAC CITY
State : IA
Zip : 50583-2416
Country : US
Telephone Number : 712-662-7105
Fax Number : 712-662-3297
Provider Business Practice Location Address
First Line : 301 HIGHLAND AVE
Second Line :
City : SAC CITY
State : IA
Zip : 50583-2411
Country : US
Telephone Number : 712-662-7105
Fax Number : 712-662-3297
Authorized Official
Title or Position : CFO
Name : MS. STACY J JOHNSON
Credential :
Telephone Number : 712-662-6383
Provider Enumeration Date : 01/09/2007
Last Update Date : 12/03/2018

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Directions to “LORING HOSPITAL ” Practice Location

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