Provider Demographics
NPI:1932876851
Name:STORY COUNTY HOSPITAL
Entity Type:Organization
Organization Name:STORY COUNTY HOSPITAL
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:AO
Authorized Official - Prefix:
Authorized Official - First Name:JANE
Authorized Official - Middle Name:DARLIEN
Authorized Official - Last Name:RAMTHUN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:515-382-2111
Mailing Address - Street 1:403 1ST ST
Mailing Address - Street 2:
Mailing Address - City:MAXWELL
Mailing Address - State:IA
Mailing Address - Zip Code:50161-7700
Mailing Address - Country:US
Mailing Address - Phone:952-653-2525
Mailing Address - Fax:952-653-2540
Practice Address - Street 1:403 1ST ST
Practice Address - Street 2:
Practice Address - City:MAXWELL
Practice Address - State:IA
Practice Address - Zip Code:50161-7700
Practice Address - Country:US
Practice Address - Phone:952-653-2525
Practice Address - Fax:952-653-2540
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-08-27
Last Update Date:2021-08-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332900000XSuppliersNon-Pharmacy Dispensing Site