Shenandoah Medical Center

Organization Active NPI Hospitalist Physician · Shenandoah, IA

NPI 1184021602 · NPPES record last updated Nov 26, 2014

Key facts

NPI
1184021602
Entity type
Organization (NPI type 2)
Primary specialty
Hospitalist Physician 208M00000X
License
730065H (IA)
Legal business name
SHENANDOAH MEDICAL CENTER
Practice address
300 Pershing Ave
Shenandoah, IA 51601-2355
Phone
(712) 246-1230
Fax
(712) 246-7357
NPI assigned
Nov 26, 2014
Organization subpart
No

Authorized official

Name
Karen S Cole
Title
Ceo
Phone
(712) 246-1230

Corporate family (same tax ID) 14

Organizations that report the same tax identification number in the National Provider Directory.

National Provider Directory

Tax ID family
Shenandoah Memorial Hospi (15 organizations share this tax ID)

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Hospitalist Physician
Group: 193200000X MULTI-SPECIALTY GROUP
208M00000X 730065H IA Yes

Addresses

Primary practice location

300 Pershing Ave
Shenandoah, IA 51601-2355

Mailing address

300 Pershing Ave
Shenandoah, IA 51601-2355
Phone (712) 246-1230

Other providers in Shenandoah, IA

All providers in Shenandoah, IA · Hospitalist Physician in Iowa

Sources for this page

Verify at the official NPI Registry.