Ccmh Medical Clinic
LBN: Crawford County Memorial Hospital
Ccmh Medical Clinic is an health care organization with primary practice located at 100 Medical Pkwy Suite A, Denison IA 51442-2607. The organization recently has 3 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Family Medicine, Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant, Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner. Allopathic & Osteopathic Physicians / Family Medicine is the primary health care specialty.
Crawford County Memorial Hospital can be contacted via phone (712) 265-2700, or through Carlson, Nancy J. via phone (712) 265-2505.
Contact Information
Primary practice address
100 Medical Pkwy Suite A
Denison IA 51442-2607
Phone: (712) 265-2700
Fax: (712) 263-1777
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Family Medicine | 207Q00000X | ||
| Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant | 363A00000X | ||
| Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner | 363L00000X |
Profile Details
| NPI number | 1174793285 |
|---|---|
| LBN Legal business name | Crawford County Memorial Hospital |
| DBA Doing business as | Ccmh Medical Clinic |
| Authorized official | Carlson, Nancy J. |
| Entity | Organization |
| Organization subpart 1 | Yes |
| Enumeration date | Mar 4th, 2008 |
| Last updated | Nov 28th, 2011 - about 15 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 | 1174793285 | NPPES |
| Iowa | MEDICAID | 0154542 | |
| Iowa | Other | 51356 |
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