Entity Details

Basic

Entity Type:
Rural Health Clinics (RHC)

Former Entity Name:
Myrtue Medical Center-earling Clinic

Medicaid #:

CCN #:
168571

Occupancy Type:
Beds

Max Occupancy:

Status:
Active

Close Date:

Accredited:
No Record Found

Accredited/Deemed:
The Compliance Team

License & Survey

License #:

Initial License Date:

Current License Date:

Renewal Cycle:

Entity Type Renewal Cycle(months):
356

Expiration Date:

Months Since Last Survey:

Entity Type Survey Cycle(months):
73

Special Focus Facility:
No

Loss of NA Training Effective:

Loss of NA Training Expires:

Contact

Address:
100 Industrial Drive, Suite 101

City:
Earling

State:
Iowa

Zip:
51530

Phone:

Fax:

URL:

Administrator/License #:
Brian Anderson /

Administrator Email:
Banderson@myrtuemedical.org

Files

Life Safety Code (LSC) Waiver:

Licensure Rule Variance: