Family Practice Clinic-West Bend

LBN: Palo Alto County Hospital
Family Practice Clinic-West Bend is an health care organization with primary practice located at 107 W Division St , West Bend IA 50597-7738. The organization recently has only one registered license in Ambulatory Health Care Facilities / Rural Health, which is considered as the primary health care specialty. Palo Alto County Hospital can be contacted via phone (515) 887-7891, or through Einsweiler, Desiree A via phone (712) 852-5500.

Contact Information

Primary practice address
107 W Division St West Bend IA 50597-7738
Phone: (515) 887-7891
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Einsweiler, Desiree A
Phone: (712) 852-5500

Health care specialties

SpecialtyCodeLicense #State
Ambulatory Health Care Facilities / Rural Health 261QR1300X

Profile Details

NPI number 1962572776
LBN Legal business name Palo Alto County Hospital
DBA Doing business as Family Practice Clinic-West Bend
Authorized official Einsweiler, Desiree A
Entity Organization
Organization subpart 1 No
Enumeration date Nov 9th, 2006
Last updated Dec 3rd, 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1962572776 NPPES
Iowa MEDICAID 0634840
Iowa Other 63417

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