Michael Steinkruger

Individual provider Active NPI Skilled Nursing Facility · Greene, IA

NPI 1104201631 · NPPES record last updated Jul 27, 2015

Key facts

NPI
1104201631
Entity type
Individual (NPI type 1)
Primary specialty
Skilled Nursing Facility 314000000X
License
01591 (IA)
Practice address
108 S High St
Greene, IA 50636-9437
Phone
(641) 823-4531
NPI assigned
Jul 27, 2015
Sex
Male
Sole proprietor
Yes

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No

State licenses

LicenseStateTypeSpecialty
01591IAMDSkilled Nursing Facility

Practice roles

OrganizationSpecialtyStatusNew patients
Kanawha Community Home, Inc Skilled Nursing Facility Current Accepting new patients

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Skilled Nursing Facility 314000000X 01591 IA Yes
Skilled Nursing Facility 314000000X IA

Addresses

Primary practice location

108 S High St
Greene, IA 50636-9437

Mailing address

108 S High St
Greene, IA 50636-9437
Phone (641) 823-4531

Other providers in Greene, IA

All providers in Greene, IA · Skilled Nursing Facility in Iowa

Sources for this page

Verify at the official NPI Registry.