Entity Details

Iowa Medical & Classification Center ( Hospital )

Basic

Entity Type:
Hospital (Hospital)

Medicaid #:

CCN #:

Occupancy Type:
Beds

Max Occupancy:
45

Status:
Active

Close Date:

Accredited:
No Record Found

Accredited/Deemed:
No Record Found

License & Survey

License #:
520129H

Initial License Date:

Current License Date:
01/01/2026

Renewal Cycle:
364

Entity Type Renewal Cycle(months):
12

Expiration Date:
12/31/2026

Months Since Last Survey:
9

Entity Type Survey Cycle(months):
60

Special Focus Facility:
No

Loss of NA Training Effective:

Loss of NA Training Expires:

Contact

Address:
2700 Coral Ridge Avenue

City:
Coralville

State:
Iowa

Zip:
52241-0000

Phone:
(319) 626-2391

Fax:
(319) 626-2141

URL:
https://doc.iowa.gov/

Administrator/License #:
Mike Heinricy /

Administrator Email:
[email protected]

Files

Life Safety Code (LSC) Waiver:

No Files Found

Licensure Rule Variance:

No Files Found