Provider Demographics
NPI:1023197845
Name:IOWA SPECIALTY HOSPITAL- CLARION
Entity Type:Organization
Organization Name:IOWA SPECIALTY HOSPITAL- CLARION
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:
Authorized Official - First Name:STEVE
Authorized Official - Middle Name:
Authorized Official - Last Name:SIMONIN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:515-532-9333
Mailing Address - Street 1:1316 S MAIN ST
Mailing Address - Street 2:
Mailing Address - City:CLARION
Mailing Address - State:IA
Mailing Address - Zip Code:50525-2019
Mailing Address - Country:US
Mailing Address - Phone:515-532-2811
Mailing Address - Fax:515-532-9336
Practice Address - Street 1:1316 S MAIN ST
Practice Address - Street 2:
Practice Address - City:CLARION
Practice Address - State:IA
Practice Address - Zip Code:50525-2019
Practice Address - Country:US
Practice Address - Phone:515-532-2811
Practice Address - Fax:515-532-9336
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-11-03
Last Update Date:2019-12-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IA990177H282NC0060X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes282NC0060XHospitalsGeneral Acute Care HospitalCritical Access
Provider Identifiers
StateIdentifier IDID TypeIssuer
IA66046OtherSKILLED BCBS
IA66046OtherSKILLED BCBS
IAI10211Medicare UPIN
IAP31683Medicare UPIN
IAI28108Medicare UPIN
IAA02773Medicare UPIN
IA66046OtherSKILLED BCBS
IAA02356Medicare UPIN
IAH21584Medicare UPIN
IAI13656Medicare UPIN
IAP34309Medicare UPIN
IAI10399Medicare UPIN
IAA01978Medicare UPIN
IAG88106Medicare UPIN
IAA02110Medicare UPIN
IAS37435Medicare UPIN
IAR03150Medicare UPIN
IA1932199080OtherM WHITEHILL-NPI