Pella Regional Health Center
Organization Active NPI Pharmacy · Pella, IA
NPI 1902829146 · NPPES record last updated Mar 7, 2023
Key facts
- NPI
- 1902829146
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Pharmacy 333600000X
- License
- 268 (IA)
- Legal business name
- PELLA REGIONAL HEALTH CENTER
- Practice address
- 404 Jefferson St
Pella, IA 50219-1257 - Phone
- (641) 628-3150
- Fax
- (641) 628-8901
- NPI assigned
- Jul 26, 2006
- Organization subpart
- Yes
- Parent organization (as reported)
- PELLA REGIONAL HEALTH CENTER
Authorized official
- Name
- Robert D Kroese
- Title
- Ceo
- Phone
- (641) 628-6604
Corporate family (same tax ID) 12
Practitioners 1
-
Marsha Collins, PA-C
National Provider Directory
- Tax ID family
- Pella HLTH Ctr Med Clin
- Part of
- Pella HLTH Ctr Med Clin
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacy | 333600000X | 268 | IA | Yes |
Addresses
Primary practice location
404 Jefferson St
Pella, IA 50219-1257
Mailing address
404 Jefferson St
Pella, IA 50219-1257
Phone (641) 628-3150
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1620550 | Other | IA | NCPDP # |
| 268 | Other | IA | LICENSE # |
| 0213298 | Medicaid | IA |
Other names
- Pharmacy
Other providers in Pella, IA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Mar 7, 2023. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.