Stormwater- Affiliates

Facility Name: GREATER REGIONAL MEDICAL CENTER

Permit Type: GP #2 Legal Status: Private     File No: 13035   Authorization No: 13035-12824

Expiration Date: 10/1/2009 (discontinued) Address: 1700 TOWNLINE ST. - CRESTON , IA 50801

County: UNION Field Office: 4 SIC: Geospatial Information: 383992(X)/4547199(Y)

Affiliates   Name Address City State Zip Phone Type GREATER REGIONAL MEDICAL CENTER 1700 TOWNLINE ST. CRESTON IA 50801 (641)782-7091 Owner MONTE NEITZEL 1700 TOWNLINE ST., SUITE 3 CRESTON IA 50801 (641)782-7091 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