MEDICARE: HENRY COUNTY SOLDIERS' AND SAILORS' MEMORIAL 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	282NC0060X	Critical Access Hospital	440047H	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	60106	OTHER	IA	WELLMARK BC OF IA

General Provider Information

NPI Number	:	1437141181
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	HENRY COUNTY SOLDIERS' AND SAILORS' MEMORIAL HOSPITAL

Provider Business Mailing Address
First Line	:	407 S WHITE ST
Second Line	:
City	:	MOUNT PLEASANT
State	:	IA
Zip	:	52641-2263
Country	:	US
Telephone Number	:	319-385-3141
Fax Number	:	319-385-6571

Provider Business Practice Location Address
First Line	:	407 S WHITE ST
Second Line	:
City	:	MOUNT PLEASANT
State	:	IA
Zip	:	52641-2263
Country	:	US
Telephone Number	:	319-385-3141
Fax Number	:	319-385-6571

Authorized Official
Title or Position	:	MANAGER FINANCE
Name	:	BRANDY MICHELLE WILLIAMS-LOWE
Credential	:
Telephone Number	:	319-385-6529

Provider Enumeration Date	:	08/18/2005
Last Update Date	:	03/11/2026

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