NPI | 1639158595 |
---|---|
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 | 273Y00000X Rehabilitation Unit (Licence: IA 290147H) |
Enumeration Date | 2006-01-10 |
Last Update Date | 2022-10-18 |