Provider Demographics
NPI:1780873919
Name:WAYNE COUNTY HOSPITAL
Entity type:Organization
Organization Name:WAYNE COUNTY HOSPITAL
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:
Authorized Official - First Name:DAREN
Authorized Official - Middle Name:L
Authorized Official - Last Name:RELPH
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:641-872-2260
Mailing Address - Street 1:PO BOX 283
Mailing Address - Street 2:
Mailing Address - City:CORYDON
Mailing Address - State:IA
Mailing Address - Zip Code:50060-0283
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:515 W WALL ST
Practice Address - Street 2:
Practice Address - City:SEYMOUR
Practice Address - State:IA
Practice Address - Zip Code:52590-1333
Practice Address - Country:US
Practice Address - Phone:641-898-2898
Practice Address - Fax:641-898-2820
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-10-24
Last Update Date:2012-12-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes261QR1300XAmbulatory Health Care FacilitiesClinic/CenterRural HealthGroup - Single Specialty
No363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamilyGroup - Single Specialty