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Contact Information

BUENA VISTA REGIONAL MEDICAL CENTER
1305 W MILWAUKEE AVE
STORM LAKE, IA50588-2904
 Phone: 712-749-2747
 Fax: 712-749-2750
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Hospice Care, Community Based

251G00000X B4[14] Hospice
Indicates primary specialty

NPI Profile & details for BUENA VISTA REGIONAL MEDICAL CENTER

NPI # 1952350696
LBN Legal business name BUENA VISTA REGIONAL MEDICAL CENTER
Authorized official KRISTA KETCHAM - (CFO)
Entity Organization
Organization subpart 1 Yes
Enumeration date 05/09/2006
Last updated 07/08/2011 - About 15 years ago
Identifiers
IA Medicaid 0615344
IA Other 61534 WELLMARK HOSPICE
1 Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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