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NPI Code Detail

MEDICARE: MARY GREELEY MEDICAL CENTER

MEDICARE: MARY GREELEY MEDICAL CENTER
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
1273Y00000XRehabilitation Hospital Unit

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 : 1235115031
Entity Type Code : Organization
Provider Name (Legal Business Name) : MARY GREELEY MEDICAL CENTER
Provider Business Mailing Address
First Line : 1111 DUFF AVE
Second Line :
City : AMES
State : IA
Zip : 50010-5745
Country : US
Telephone Number : 515-239-2011
Fax Number : 515-239-2060
Provider Business Practice Location Address
First Line : 1111 DUFF AVE
Second Line :
City : AMES
State : IA
Zip : 50010-5745
Country : US
Telephone Number : 515-239-2011
Fax Number : 515-239-2060
Authorized Official
Title or Position : PRESIDENT/CEO
Name : AMBER DEARDORFF
Credential :
Telephone Number : 515-239-2105
Provider Enumeration Date : 12/22/2005
Last Update Date : 12/15/2025

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1111 DUFF AVE
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Directions to “MARY GREELEY MEDICAL CENTER ” Practice Location

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