| Buena Vista Regional Medical Center | |
|
1525 W 5th St Storm Lake IA 50588-3027 | |
| (712) 732-4030 | |
| (712) 213-1233 |
| Full Name | Buena Vista Regional Medical Center |
|---|---|
| Speciality | Psychiatric Unit |
| Location | 1525 W 5th St, Storm Lake, Iowa |
| Authorized Official Name and Position | Krista L Ketcham (CFO) |
| Authorized Official Contact | 7122138603 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Buena Vista Regional Medical Center Po Box 309 Storm Lake IA 50588-0309 Ph: (712) 732-4030 | Buena Vista Regional Medical Center 1525 W 5th St Storm Lake IA 50588-3027 Ph: (712) 732-4030 |
| NPI Number | 1316995798 |
|---|---|
| Provider Enumeration Date | 05/05/2006 |
| Last Update Date | 07/08/2011 |
| Medicare PECOS PAC ID | 3476464421 |
|---|---|
| Medicare Enrollment ID | O20070125000142 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1316995798 | NPI | - | NPPES |
| 0600668 | Medicaid | IA | |
| 60066 | Other | IA | BEHAV HEALTH |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 273R00000X | Psychiatric Unit | 110166H (Iowa) | Primary |
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