OrganizationActive
Buena Vista Regional Medical Center
NPI 1780755728 · Diagnostic Radiology Physician · Storm Lake, IA
Provider details
- NPI number
- 1780755728
- Entity type
- Organization
- Primary specialty
- Diagnostic Radiology PhysicianAllopathic & Osteopathic Physicians
- Organization subpart
- No
- Authorized official
- Krista Ketcham, Cfo(712) 213-8603
- License
- 166H (IA)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Allopathic & Osteopathic Physicians
Allopathic & Osteopathic Physicians
- Orthopaedic Surgery Physician207X00000X
Allopathic & Osteopathic Physicians
Allopathic & Osteopathic Physicians
- Urology Physician208800000X
Allopathic & Osteopathic Physicians
Practice location
1525 W 5th St
Storm Lake, IA 50588-3027
Phone: (712) 732-4030
Fax: (712) 213-1233
Approximate (ZIP-level) locationGet directions
Mailing address
1525 W 5th St
Storm Lake, IA 50588-3027
Other names (DBA / former)
- Other name
- Buena Vista Regional Medical Center Dept of Ekg
- Other name
- Buena Vista Regional Medical Center Dept of Ekg
Registry dates
- Enumerated
- 2006-11-13
- Last updated
- 2024-12-10
- Certified
- 2024-12-10
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.