Provider Demographics
NPI:1124474044
Name:HAMILTON COUNTY PUBLIC HOSPITAL
Entity type:Organization
Organization Name:HAMILTON COUNTY PUBLIC HOSPITAL
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:CHIEF FINANCIAL OFFICER
Authorized Official - Prefix:
Authorized Official - First Name:ALICE
Authorized Official - Middle Name:
Authorized Official - Last Name:HEINRICHS
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:515-832-7751
Mailing Address - Street 1:2350 HOSPITAL DR
Mailing Address - Street 2:PO BOX 0430
Mailing Address - City:WEBSTER CITY
Mailing Address - State:IA
Mailing Address - Zip Code:50595-6600
Mailing Address - Country:US
Mailing Address - Phone:515-832-9400
Mailing Address - Fax:515-832-9420
Practice Address - Street 1:2350 HOSPITAL DR
Practice Address - Street 2:
Practice Address - City:WEBSTER CITY
Practice Address - State:IA
Practice Address - Zip Code:50595-6600
Practice Address - Country:US
Practice Address - Phone:515-832-9400
Practice Address - Fax:515-832-9420
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2016-05-10
Last Update Date:2016-05-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
1041C0700X
IA400120H261QC0050X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes261QC0050XAmbulatory Health Care FacilitiesClinic/CenterCritical Access Hospital
No1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinicalGroup - Single Specialty