MEDICARE: FHC OF STORM LAKE IOWA INC

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	315P00000X	Intellectual Disabilities Intermediate Care Facility	IMR439	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

General Provider Information

NPI Number	:	1558415943
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	FHC OF STORM LAKE IOWA INC

Provider Business Mailing Address
First Line	:	PO BOX 243
Second Line	:
City	:	STORM LAKE
State	:	IA
Zip	:	50588-0243
Country	:	US
Telephone Number	:	712-732-5127
Fax Number	:	712-732-6002

Provider Business Practice Location Address
First Line	:	1815 W MILWAUKEE AVE
Second Line	:
City	:	STORM LAKE
State	:	IA
Zip	:	50588-0243
Country	:	US
Telephone Number	:	712-732-5127
Fax Number	:	712-732-6002

Authorized Official
Title or Position	:	EXECUTIVE DIRECTOR
Name	:	MR. THOMAS G DANIELS
Credential	:
Telephone Number	:	712-732-5117

Provider Enumeration Date	:	01/22/2007
Last Update Date	:	08/22/2020

Similar Medicare Providers

1730279720 — TURTLE LAKE AMBULANCE SERVICE, INC
Practice Location Address:

216 PUTNAM STREET
TURTLE LAKE, ND
58575-0243

Practice Phone: 701-448-2518
Practice Fax: 701-448-2518

1417078882 — ALOKE KUMAR MANDAL M.D., PH.D.
Practice Location Address:

3110 W LAKE CENTER DR , CA152-0243
SANTA ANA, CA
92704-6917

Practice Phone: 714-335-6624
Practice Fax:

1942205323 — DR. JAMES PAUL FAINE D.C.
Practice Location Address:

319 W 5TH ST
STORM LAKE, IA
50588-1743

Practice Phone: 712-732-1951
Practice Fax:

1164423349 — DR. LEE ANTHONY MEYLOR D.C.
Practice Location Address:

1411 E LAKESHORE DR
STORM LAKE, IA
50588-2683

Practice Phone: 712-732-7280
Practice Fax: 712-732-7281

1912993841 — BUENA VISTA MANOR, INC.
Practice Location Address:

1325 LAKE AVE
STORM LAKE, IA
50588-1907

Practice Phone: 712-732-3254
Practice Fax: 712-732-1990

1972591493 — DR. CASEY C MILLER D.C.
Practice Location Address:

605 ONTARIO ST
STORM LAKE, IA
50588-1844

Practice Phone: 712-732-1952
Practice Fax:

Directions to “FHC OF STORM LAKE IOWA INC ” 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.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.