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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

NPI # 1952466419
LBN Legal business name SHENANDOAH MEDICAL CENTER
Authorized official KAREN COLE - (CEO)
Entity Organization
Organization subpart 1 No
Enumeration date 12/26/2006
Last updated 05/04/2015 - About 11 years ago
Identifiers
IA License # 27220
IA License # 730065H
IA Medicaid 0423467
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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