Stormwater- Affiliates

Facility Name: MAHASKA HEALTH PARTNERSHIP SURGERY/PATIENT WING ADDITION - CONSTRUCTION

Permit Type: GP #2 - Construction Activity Legal Status: Public     File No: 18257   Authorization No: 18257-18031

Expiration Date: 6/1/2014 (discontinued) Address: 1229 C AVE. EAST - OSKALOOSA , IA 52577

County: MAHASKA Field Office: 5 SIC: Geospatial Information: 531235(X)/4572509(Y)

Affiliates   Name Address City State Zip Phone Type MAHASKA COUNTY HOSPITAL 1229 C AVE. EAST OSKALOOSA IA 52577 (641)672-3100 Contact MAHASKA COUNTY HOSPITAL 1229 C AVE. EAST OSKALOOSA IA 52577 (641)672-3100 Owner 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