Provider Demographics
NPI:1245387844
Name:MANNING REGIONAL HEALTHCARE CENTER
Entity Type:Organization
Organization Name:MANNING REGIONAL HEALTHCARE CENTER
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:
Authorized Official - First Name:JOHN
Authorized Official - Middle Name:
Authorized Official - Last Name:O'BRIEN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:712-655-2072
Mailing Address - Street 1:1550 6TH ST
Mailing Address - Street 2:
Mailing Address - City:MANNING
Mailing Address - State:IA
Mailing Address - Zip Code:51455-1004
Mailing Address - Country:US
Mailing Address - Phone:712-655-2072
Mailing Address - Fax:712-655-3330
Practice Address - Street 1:1550 6TH ST
Practice Address - Street 2:
Practice Address - City:MANNING
Practice Address - State:IA
Practice Address - Zip Code:51455-1004
Practice Address - Country:US
Practice Address - Phone:712-655-2072
Practice Address - Fax:712-655-3330
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:MANNING REGIONAL HEALTHCARE CENTER
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2007-01-04
Last Update Date:2015-02-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IA140058H275N00000X, 282NC0060X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes275N00000XHospital UnitsMedicare Defined Swing Bed Unit
No282NC0060XHospitalsGeneral Acute Care HospitalCritical Access
Provider Identifiers
StateIdentifier IDID TypeIssuer
IA0655035Medicaid
IAKZ10MVOtherMEDICARE FISS LOG ON
IA16Z332Medicare Oscar/Certification