MEDICARE: RINGGOLD COUNTY 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
1	275N00000X	Medicare Defined Swing Bed Hospital Unit	800167H	IA

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
2	66048	OTHER	IA	BLUE CROSS

General Provider Information

NPI Number	:	1356490841
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	RINGGOLD COUNTY HOSPITAL

Provider Business Mailing Address
First Line	:	504 N. CLEVELAND ST.
Second Line	:
City	:	MOUNT AYR
State	:	IA
Zip	:	50854-2201
Country	:	US
Telephone Number	:	641-464-3226
Fax Number	:	641-464-4421

Provider Business Practice Location Address
First Line	:	504 N. CLEVELAND ST.
Second Line	:
City	:	MOUNT AYR
State	:	IA
Zip	:	50854-2201
Country	:	US
Telephone Number	:	641-464-3226
Fax Number	:	641-464-4421

Authorized Official
Title or Position	:	CFO
Name	:	MRS. TERESA ANN ROBERTS
Credential	:
Telephone Number	:	641-464-3226

Provider Enumeration Date	:	01/10/2007
Last Update Date	:	11/24/2009

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Directions to “RINGGOLD COUNTY HOSPITAL ” Practice Location

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