Basic Information
| Provider Information | |||||||||
| NPI: | 1326528886 | ||||||||
| EntityType: | 2 | ||||||||
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| OrganizationName: | HAWARDEN REGIONAL HEALTHCARE | ||||||||
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| Mailing Information | |||||||||
| Address1: | 1111 11TH ST | ||||||||
| Address2: | |||||||||
| City: | HAWARDEN | ||||||||
| State: | IA | ||||||||
| PostalCode: | 510231903 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 7125513100 | ||||||||
| FaxNumber: | 7125513196 | ||||||||
| Practice Location | |||||||||
| Address1: | 1111 11TH ST | ||||||||
| Address2: | |||||||||
| City: | HAWARDEN | ||||||||
| State: | IA | ||||||||
| PostalCode: | 510231903 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 7125513100 | ||||||||
| FaxNumber: | 7125513196 | ||||||||
| Other Information | |||||||||
| ProviderEnumerationDate: | 08/15/2018 | ||||||||
| LastUpdateDate: | 08/15/2018 | ||||||||
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| AuthorizedOfficialLastName: | HUGHES | ||||||||
| AuthorizedOfficialFirstName: | JESSICA | ||||||||
| AuthorizedOfficialMiddleName: | A | ||||||||
| AuthorizedOfficialTitleorPosition: | CFO | ||||||||
| AuthorizedOfficialTelephone: | 7125513100 | ||||||||
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| IsOrganizationSubpart: | N | ||||||||
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Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 367500000X | Y | 193400000X SINGLE SPECIALTY GROUP | Physician Assistants & Advanced Practice Nursing Providers | Nurse Anesthetist, Certified Registered |
No ID Information.