Entity Details

Basic

Entity Type:
Hospital (Hospital)

Former Entity Name:
Great River Medical Center

Medicaid #:
0600577

CCN #:
160057

Occupancy Type:
Beds

Max Occupancy:
213

Status:
Active

Close Date:

Accredited:
No Record Found

Accredited/Deemed:
Center for Improvement in Healthcare Quality

License & Survey

License #:
290147H

Initial License Date:

Current License Date:
01/01/2025

Renewal Cycle:
364

Entity Type Renewal Cycle(months):
12

Expiration Date:
12/31/2025

Months Since Last Survey:
161

Entity Type Survey Cycle(months):
36

Special Focus Facility:
No

Loss of NA Training Effective:

Loss of NA Training Expires:

Contact

Address:
1221 South Gear Avenue

City:
West Burlington

State:
Iowa

Zip:
52655-1681

Phone:
(319) 768-1000

Fax:
(319) 768-3258

URL:
https://www.greatriverhealth.org/

Administrator/License #:
Michael McCoy /

Administrator Email:
mmccoy@greatriverhealth.org

Files

Life Safety Code (LSC) Waiver:

Licensure Rule Variance: