| NPI | 1164433884 |
|---|---|
| Former Legal Business Name | GREAT RIVER MEDICAL CENTER |
| Doing Business As | SOUTHEAST IOWA REGIONAL MEDICAL CENTER |
| Entity Type | Organization |
| Authorized Contact | MICHAEL MCCOY CEO 319-768-3268 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208D00000X General Practice |
| Enumeration Date | 2006-08-10 |
| Last Update Date | 2022-10-18 |