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Contact Information

SHENANDOAH MEDICAL CENTER
300 PERSHING AVE
SHENANDOAH, IA51601-2355
 Phone: 712-246-1230
 Fax: 712-246-7357
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Surgery

208600000X 02 Physician/General Surgery
 

Family Medicine

207Q00000X 08 Physician/Family Practice
 

Internal Medicine

207R00000X 11 Physician/Internal Medicine
 

Obstetrics & Gynecology

207V00000X 16 Physician/Obstetrics & Gynecology
 

Urogynecology and Reconstructive Pelvic Surgery

207VF0040X 16 Physician/Obstetrics & Gynecology
Indicates primary specialty

NPI Profile & details for SHENANDOAH MEDICAL CENTER · (Female)

NPI Number 1952466419
Status Active
Credentials
Entity Individual
Enumeration date 12/26/2006
Last updated 05/04/2015 - About 11 years ago
Sole proprietor 1 Not specified
Identifiers
  • IA License # 27220
  • IA License # 730065H
  • IA Medicaid 0423467
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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