Provider Demographics
NPI:1134192750
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:MR
Authorized Official - First Name:NATHAN
Authorized Official - Middle Name:D
Authorized Official - Last Name:THOMPSON
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:515-382-7702
Mailing Address - Street 1:640 S 19TH ST
Mailing Address - Street 2:
Mailing Address - City:NEVADA
Mailing Address - State:IA
Mailing Address - Zip Code:50201-2902
Mailing Address - Country:US
Mailing Address - Phone:515-382-2111
Mailing Address - Fax:515-382-7760
Practice Address - Street 1:112 W MAIN ST
Practice Address - Street 2:
Practice Address - City:ZEARING
Practice Address - State:IA
Practice Address - Zip Code:50278-7728
Practice Address - Country:US
Practice Address - Phone:641-487-7779
Practice Address - Fax:641-487-7749
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:STORY COUNTY HOSPITAL
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2006-02-13
Last Update Date:2017-06-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QR1300XAmbulatory Health Care FacilitiesClinic/CenterRural Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
IA163460OtherRURAL HEALTH MEDICARE PIN
IA06346000Medicaid
48683OtherWELMARK
IA06346000Medicaid