Stormwater- Affiliates

Facility Name: OTTUMWA REGIONAL HEALTH CARE

Permit Type: GP #2 Legal Status: Private     File No: 19085   Authorization No: 19085-18858

Expiration Date: 11/1/2012 (discontinued) Address: 1001 PENNSYLVANIA AVE. - OTTUMWA , IA 52501

County: WAPELLO Field Office: 6 SIC: Geospatial Information: 550817(X)/4541986(Y)

Affiliates   Name Address City State Zip Phone Type JIM AGEE 1001 PENNSYLVANIA AVE. OTTUMWA IA 52501 (641)684-2360 Contact RCHP OTTUMWA, INC. 103 CONTINENTAL PLACE, STE. 410 BRENTWOOD TN 37027 (615)277-1415 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