Provider Demographics
NPI:1992206197
Name:HENRY COUNTY SOLDIERS' AND SAILORS' MEMORIAL HOSPITAL
Entity Type:Organization
Organization Name:HENRY COUNTY SOLDIERS' AND SAILORS' MEMORIAL HOSPITAL
Other - Org Name:PHYSICIANS & CLINICS OF HCHC - WINFIELD
Other - Org Type:Doing Business As
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:MR
Authorized Official - First Name:ROBB
Authorized Official - Middle Name:M
Authorized Official - Last Name:GARDER
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:319-385-6560
Mailing Address - Street 1:407 S WHITE ST
Mailing Address - Street 2:
Mailing Address - City:MOUNT PLEASANT
Mailing Address - State:IA
Mailing Address - Zip Code:52641-2263
Mailing Address - Country:US
Mailing Address - Phone:319-385-3141
Mailing Address - Fax:319-385-6589
Practice Address - Street 1:110 W PINE ST
Practice Address - Street 2:
Practice Address - City:WINFIELD
Practice Address - State:IA
Practice Address - Zip Code:52659-9795
Practice Address - Country:US
Practice Address - Phone:319-257-6211
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:HENRY COUNTY SOLDIERS' AND SAILORS' MEMORIAL HOSPITAL
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2018-02-22
Last Update Date:2018-03-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QR1300XAmbulatory Health Care FacilitiesClinic/CenterRural Health