Provider Demographics
NPI:1316148307
Name:CASS COUNTY MEMORIAL HOSPITAL
Entity type:Organization
Organization Name:CASS COUNTY MEMORIAL HOSPITAL
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:CHIEF FINANCIAL OFFICER
Authorized Official - Prefix:
Authorized Official - First Name:ABBEY
Authorized Official - Middle Name:
Authorized Official - Last Name:STANGL
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:712-243-3250
Mailing Address - Street 1:1109 MORNINGSIDE DRIVE
Mailing Address - Street 2:
Mailing Address - City:GRISWOLD
Mailing Address - State:IA
Mailing Address - Zip Code:51535-0099
Mailing Address - Country:US
Mailing Address - Phone:712-778-5140
Mailing Address - Fax:712-243-7423
Practice Address - Street 1:1501 E 10TH ST
Practice Address - Street 2:
Practice Address - City:ATLANTIC
Practice Address - State:IA
Practice Address - Zip Code:50022-1936
Practice Address - Country:US
Practice Address - Phone:712-243-2850
Practice Address - Fax:712-243-7423
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:CASS COUNTY MEMORIAL HOSPITAL
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2007-05-29
Last Update Date:2023-01-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily MedicineGroup - Multi-Specialty
No261QR1300XAmbulatory Health Care FacilitiesClinic/CenterRural HealthGroup - Multi-Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
IA1316148307Medicaid
IA168525Medicare Oscar/Certification