Ccmh Medical Clinic - City Center

LBN: Crawford County Memorial Hospital
Ccmh Medical Clinic - City Center is an health care organization with primary practice located at 115 N 14Th St , Denison IA 51442-1452. The organization recently has 4 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Mental Health, Allopathic & Osteopathic Physicians / Family Medicine, Ambulatory Health Care Facilities / Rural Health, Physician Assistants & Advanced Practice Nursing Providers / Family Health. Ambulatory Health Care Facilities / Rural Health is the primary health care specialty. Crawford County Memorial Hospital can be contacted via phone (712) 263-5071, or through Bruce, Billy J via phone (712) 265-2502.

Contact Information

Primary practice address
115 N 14Th St Denison IA 51442-1452
Phone: (712) 263-5071
Fax: (712) 263-6106
Website:
Map and Directions
Authorized official contact:
Name: Bruce, Billy J
Phone: (712) 265-2502

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Mental Health 101YM0800X
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X
Ambulatory Health Care Facilities / Rural Health 261QR1300X 240173H Iowa
Physician Assistants & Advanced Practice Nursing Providers / Family Health 364SF0001X

Profile Details

NPI number 1134586811
LBN Legal business name Crawford County Memorial Hospital
DBA Doing business as Ccmh Medical Clinic - City Center
Authorized official Bruce, Billy J
Entity Organization
Organization subpart 1 Yes
Enumeration date Jan 26th, 2016
Last updated Apr 18th, 2017 - about 8 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 1134586811 NPPES
Iowa MEDICAID 1134586811
Iowa Other 1134586811

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