Stormwater- Affiliates

Facility Name: WRIGHT MEDICAL CENTER HOSPITAL

Permit Type: GP #2 Legal Status: Private     File No: 7478   Authorization No: 7478-7284

Expiration Date: 4/13/2007 (discontinued) Address: 1316 SOUTH MAIN STREET - CLARION , IA 50525

County: WRIGHT Field Office: 2 SIC: Geospatial Information: 439977(X)/4730053(Y)

Affiliates   Name Address City State Zip Phone Type WRIGHT MEDICAL CENTER HOSPITAL 1316 SOUTH MAIN STREET CLARION IA 50525 (515)532-2811 Owner MARK JENISON 1316 SOUTH MAIN STREET CLARION IA 50525 (515)532-2811 Contact Individual? Type:* --AFFILIATE TYPE-- OWNER OPERATOR CONTACT CERTIFIER Name: Title:   Company Name: C/O:   Address: Address 2: City/State/Zip   --Select-- AL AK AZ AR CA CO CT DE FL GA HI ID IL IN IA KS KY LA ME MD MA MI MN MS MO MT NE NV NH NJ NM NY NC ND OH OK OR PA RI SC SD TN TX UT VT VA WA DC WV WI WY PR OT E-mail:   Contact Owner   NO YES Preferred Method of contact EMAIL US MAIL Business Phone:   Error! Phone Number Format Must Be (XXX)XXX-XXXX Ext: Home Phone:   Error! Phone Number Format Must Be (XXX)XXX-XXXX Fax:   Error! Phone Number Format Must Be (XXX)XXX-XXXX Mobile Phone:   Error! Phone Number Format Must Be (XXX)XXX-XXXX