MEDICARE: NEW SHARON 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
1	207Q00000X	Family Medicine Physician

General Provider Information

NPI Number	:	1598986218
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	NEW SHARON MEDICAL CENTER

Provider Business Mailing Address
First Line	:	112 S MAIN ST
Second Line	:
City	:	NEW SHARON
State	:	IA
Zip	:	50207-9225
Country	:	US
Telephone Number	:	641-637-2651
Fax Number	:	641-637-2702

Provider Business Practice Location Address
First Line	:	112 S MAIN ST
Second Line	:
City	:	NEW SHARON
State	:	IA
Zip	:	50207-9225
Country	:	US
Telephone Number	:	641-637-2651
Fax Number	:	641-637-2702

Authorized Official
Title or Position	:	ADMINISTRATOR
Name	:	MR. JAY CHRISTENSEN
Credential	:
Telephone Number	:	641-672-3100

Provider Enumeration Date	:	05/01/2007
Last Update Date	:	08/22/2020

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Directions to “NEW SHARON MEDICAL CENTER ” Practice Location

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