Provider Demographics
NPI:1750447280
Name:IOWA SPECIALTY HOSPITAL- CLARION
Entity Type:Organization
Organization Name:IOWA SPECIALTY HOSPITAL- CLARION
Other - Org Name:CLARION CLINIC
Other - Org Type:Doing Business As
Authorized Official - Title/Position:ADMINISTRATOR
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 1:215 13TH AVE SW
Mailing Address - Street 2:
Mailing Address - City:CLARION
Mailing Address - State:IA
Mailing Address - Zip Code:50525-2078
Mailing Address - Country:US
Mailing Address - Phone:515-532-2836
Mailing Address - Fax:515-532-2523
Practice Address - Street 1:215 13TH AVE SW
Practice Address - Street 2:
Practice Address - City:CLARION
Practice Address - State:IA
Practice Address - Zip Code:50525-2078
Practice Address - Country:US
Practice Address - Phone:515-532-2836
Practice Address - Fax:515-532-2523
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-12-29
Last Update Date:2019-12-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IA990177H261QR1300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QR1300XAmbulatory Health Care FacilitiesClinic/CenterRural Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
IA33444OtherFPC BCBS RHC
IA1932199080OtherM WHITEHILL-NPI
IAF70987Medicare UPIN
IAR03150Medicare UPIN
IAS37435Medicare UPIN
IAH21584Medicare UPIN
IAA02356Medicare UPIN
IAP31683Medicare UPIN
IAI10211Medicare UPIN
IAA02773Medicare UPIN
IAD26842Medicare UPIN
IAI10399Medicare UPIN
IAP34309Medicare UPIN
IAA01978Medicare UPIN
IA1932199080OtherM WHITEHILL-NPI
IAI13656Medicare UPIN
IAI28108Medicare UPIN
IAG88106Medicare UPIN