NPI 1316901606

Jackson County Public Hospital

Organisation End-Stage Renal Disease (ESRD) Treatment Clinic/Center Maquoketa, IA

Practice location

Address: 700 W Grove St, Maquoketa, IA 52060-2163
Phone: (563) 652-2474
Fax: (563) 652-4096

Authorised official

Name: Curt M Coleman
Title: Ceo
Phone: (563) 652-4020

Registered specialties

End-Stage Renal Disease (ESRD) Treatment Clinic/Center Primary

Ambulatory Health Care Facilities Taxonomy 261QE0700X Licence 490099H (IA)

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Registry record

NPI: 1316901606
Entity type: Organization
NPI issued: 13 Apr 2006
Record last updated: 15 Dec 2009

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.