Stormwater- Affiliates

Facility Name: REGIONAL MEDICAL CENTER

Permit Type: GP #2 Legal Status: Public     File No: 7407   Authorization No: 7407-7215

Expiration Date: 4/1/2014 (discontinued) Address: 709 W. MAIN ST. - MANCHESTER , IA 52057

County: DELAWARE Field Office: 1 SIC: Geospatial Information: 626083(X)/4704659(Y)

Affiliates   Name Address City State Zip Phone Type REGIONAL MEDICAL CENTER 709 W. MAIN ST. MANCHESTER IA 52057 (563)927-7424 Owner JEREMY MEYER 709 W. MAIN ST. MANCHESTER IA 52057 (563)927-7424 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