Great River Medical Center

LBN: Great River Medical Center
Great River Medical Center is an health care organization with primary practice located at 1307 S Gear Ave , West Burlington IA 52655-1604. The organization recently has only one registered license in Nursing & Custodial Care Facilities / Nursing Facility/Intermediate Care Facility, which is considered as the primary health care specialty. Great River Medical Center can be contacted via phone (319) 768-4600, or through Wenzel, Matthew via phone (319) 768-3260.

Contact Information

Primary practice address
1307 S Gear Ave West Burlington IA 52655-1604
Phone: (319) 768-4600
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Wenzel, Matthew
Phone: (319) 768-3260

Health care specialties

SpecialtyCodeLicense #State
Nursing & Custodial Care Facilities / Nursing Facility/Intermediate Care Facility 313M00000X 2900147H Iowa

Profile Details

NPI number 1386623262
LBN Legal business name Great River Medical Center
DBA Doing business as
Authorized official Wenzel, Matthew
Entity Organization
Organization subpart 1 No
Enumeration date Jan 10th, 2006
Last updated Oct 1st, 2018 - 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 1386623262 NPPES
Iowa MEDICAID 0800409

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