Provider Demographics
NPI:1609285790
Name:21ST CENTURY REHAB, PC
Entity Type:Organization
Organization Name:21ST CENTURY REHAB, PC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:HUMAN RESOURCES DIRECTOR
Authorized Official - Prefix:
Authorized Official - First Name:CHRISTA
Authorized Official - Middle Name:
Authorized Official - Last Name:SKAGGS
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:515-382-3366
Mailing Address - Street 1:2350 HOSPITAL DR
Mailing Address - Street 2:
Mailing Address - City:WEBSTER CITY
Mailing Address - State:IA
Mailing Address - Zip Code:50595-6600
Mailing Address - Country:US
Mailing Address - Phone:515-832-7735
Mailing Address - Fax:515-832-7795
Practice Address - Street 1:1231 S G AVE
Practice Address - Street 2:
Practice Address - City:NEVADA
Practice Address - State:IA
Practice Address - Zip Code:50201-2717
Practice Address - Country:US
Practice Address - Phone:515-382-3366
Practice Address - Fax:515-382-1576
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2014-08-04
Last Update Date:2014-08-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IA073706283X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes283X00000XHospitalsRehabilitation Hospital