Specialty |
Taxonomy Code | Specialty Code | Provider Type | |
Emergency |
364SE0003X | 89 | Certified Clinical Nurse Specialist |
| NPI # | 1407269087 |
| LBN Legal business name | CENTRAL IOWA HOSPITAL CORPORATION |
| Authorized official | SAM HECKETHORN - (ADMINISTRATIVE ASSISTANT) |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | 06/11/2014 |
| Last updated | 06/11/2014 - About 12 years ago |
| Identifiers | n/a |
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