Provider Demographics
NPI:1821413667
Name:DAVIS COUNTY HOSPITAL
Entity Type:Organization
Organization Name:DAVIS COUNTY HOSPITAL
Other - Org Name:DAVIS COUNTY MEDICAL ASSOCIATES
Other - Org Type:Doing Business As
Authorized Official - Title/Position:CFO
Authorized Official - Prefix:MS
Authorized Official - First Name:KENDRA
Authorized Official - Middle Name:J
Authorized Official - Last Name:WARNING
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:641-664-2145
Mailing Address - Street 1:509 N MADISON ST
Mailing Address - Street 2:
Mailing Address - City:BLOOMFIELD
Mailing Address - State:IA
Mailing Address - Zip Code:52537-1271
Mailing Address - Country:US
Mailing Address - Phone:641-664-2145
Mailing Address - Fax:641-664-1669
Practice Address - Street 1:509 N MADISON ST
Practice Address - Street 2:STE 100
Practice Address - City:BLOOMFIELD
Practice Address - State:IA
Practice Address - Zip Code:52537-1271
Practice Address - Country:US
Practice Address - Phone:641-664-3832
Practice Address - Fax:641-664-1669
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:DAVIS COUNTY HOSPITAL
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2014-03-04
Last Update Date:2020-10-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QR1300XAmbulatory Health Care FacilitiesClinic/CenterRural Health