Ccmh Medical Clinic

LBN: Crawford County Memorial Hospital
Ccmh Medical Clinic is an health care organization with primary practice located at 100 Medical Parkway Suite A, Denison IA 51442-2614. The organization recently has 4 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Family Medicine, Allopathic & Osteopathic Physicians / Surgery, Ambulatory Health Care Facilities / Rural Health, Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner. Ambulatory Health Care Facilities / Rural Health is the primary health care specialty. Crawford County Memorial Hospital can be contacted via phone (712) 265-2700, or through Muck, Erin C via phone (712) 265-2506.

Contact Information

Primary practice address
100 Medical Parkway Suite A Denison IA 51442-2614
Phone: (712) 265-2700
Fax: (712) 263-1777
Website:
Map and Directions
Authorized official contact:
Name: Muck, Erin C
Phone: (712) 265-2506

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X
Allopathic & Osteopathic Physicians / Surgery 208600000X
Ambulatory Health Care Facilities / Rural Health 261QR1300X
Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner 363L00000X

Profile Details

NPI number 1104893700
LBN Legal business name Crawford County Memorial Hospital
DBA Doing business as Ccmh Medical Clinic
Authorized official Muck, Erin C
Entity Organization
Organization subpart 1 Yes
Enumeration date Mar 2nd, 2006
Last updated Mar 26th, 2024 - about 2 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1104893700 NPPES
Iowa MEDICAID 0154542
Iowa Other 51356

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