Provider Demographics
NPI:1205851060
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:2006-07-13
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
IA0655001Medicaid
IA1932199080OtherM WHITEHILL-NPI
IA1932199080OtherM WHITEHILL-NPI
IAH21584Medicare UPIN
IAA02773Medicare UPIN
IAI13656Medicare UPIN
IAA02356Medicare UPIN
IAD26842Medicare UPIN
IAS37435Medicare UPIN
IAI10211Medicare UPIN
IAI10399Medicare UPIN
IAI28108Medicare UPIN
IAG88106Medicare UPIN
IAA01978Medicare UPIN
IAP31683Medicare UPIN
IAP34309Medicare UPIN
IA0655001Medicaid
IAF70987Medicare UPIN