Provider Demographics
NPI:1316471162
Name:STORY COUNTY HOSPITAL
Entity type:Organization
Organization Name:STORY COUNTY HOSPITAL
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:
Authorized Official - First Name:NATHAN
Authorized Official - Middle Name:D
Authorized Official - Last Name:THOMPSON
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:515-387-8815
Mailing Address - Fax:515-387-8817
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:515-387-8815
Practice Address - Fax:515-387-8817
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:STORY COUNTY HOSPITAL
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2017-04-19
Last Update Date:2017-04-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QR1300XAmbulatory Health Care FacilitiesClinic/CenterRural Health