Provider Demographics
NPI:1710765433
Name:FLOYD VALLEY HOSPITAL
Entity Type:Organization
Organization Name:FLOYD VALLEY HOSPITAL
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CFO
Authorized Official - Prefix:
Authorized Official - First Name:DARYL
Authorized Official - Middle Name:J
Authorized Official - Last Name:FRIEDENBACH
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:712-546-3338
Mailing Address - Street 1:714 LINCOLN ST NE STE 100
Mailing Address - Street 2:
Mailing Address - City:LE MARS
Mailing Address - State:IA
Mailing Address - Zip Code:51031-3314
Mailing Address - Country:US
Mailing Address - Phone:712-546-3338
Mailing Address - Fax:
Practice Address - Street 1:714 LINCOLN ST NE STE 100
Practice Address - Street 2:
Practice Address - City:LE MARS
Practice Address - State:IA
Practice Address - Zip Code:51031-3314
Practice Address - Country:US
Practice Address - Phone:712-546-3738
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-09-15
Last Update Date:2023-09-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3336C0003XSuppliersPharmacyCommunity/Retail Pharmacy