| Ottumwa Regional Health Center, Inc | |
|
312 E Alta Vista Ave Ottumwa IA 52501-1413 | |
| (641) 684-3103 | |
| Not Available |
| Full Name | Ottumwa Regional Health Center, Inc |
|---|---|
| Speciality | Psychiatric Unit |
| Location | 312 E Alta Vista Ave, Ottumwa, Iowa |
| Authorized Official Name and Position | Chad M Wolbers (INTERIM CEO) |
| Authorized Official Contact | 6416842300 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Ottumwa Regional Health Center, Inc 1001 Pennsylvania Ave Ottumwa IA 52501-6427 Ph: () - | Ottumwa Regional Health Center, Inc 312 E Alta Vista Ave Ottumwa IA 52501-1413 Ph: (641) 684-3103 |
| NPI Number | 1902943970 |
|---|---|
| Provider Enumeration Date | 01/31/2007 |
| Last Update Date | 08/20/2007 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1902943970 | NPI | - | NPPES |
| 16S089 | Other | IA | BC MENTAL HEALTH NO |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 273R00000X | Psychiatric Unit | (* (Not Available)) | Primary |
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