Chariton Valley Medical Center Pc
LBN: Chariton Valley Medical Center Pc
Chariton Valley Medical Center Pc is an health care organization with primary practice located at 707 S Main , Centerville IA 52544-2421. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as the primary health care specialty.
Chariton Valley Medical Center Pc can be contacted via phone (641) 437-4344, or through Jewett, Stephen S via phone (641) 437-4344.
Contact Information
Primary practice address
707 S Main
Centerville IA 52544-2421
Phone: (641) 437-4344
Fax: (641) 856-5410
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Family Medicine | 207Q00000X | 17554 | Iowa |
| Allopathic & Osteopathic Physicians / Family Medicine | 207Q00000X | 30574 | Iowa |
| Allopathic & Osteopathic Physicians / Family Medicine | 207Q00000X | 01603 | Iowa |
Profile Details
| NPI number | 1902868664 |
|---|---|
| LBN Legal business name | Chariton Valley Medical Center Pc |
| DBA Doing business as | |
| Authorized official | Jewett, Stephen S Doctor of Medicine (MD) |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | Apr 6th, 2006 |
| Last updated | Aug 22nd, 2020 - about 6 years ago |
1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1902868664 | NPPES |
| Iowa | MEDICAID | 3130443 | |
| Iowa | MEDICAID | 0024141 | |
| Iowa | MEDICAID | 1110031 |
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