Stormwater- Affiliates

Facility Name: SHENANDOAH MEDICAL CENTER, ADDITION AND RENOVATION - CONSTRUCTION

Permit Type: GP #2 Legal Status: Private     File No: 27598   Authorization No: 27598-27348

Expiration Date: 7/20/2018(expired) Address: 300 PERSHING AVE. - SHENANDOAH , IA 51601

County: PAGE Field Office: 4 SIC: Geospatial Information: 299866(X)/4514117(Y)

Affiliates   Name Address City State Zip Phone Type SHENANDOAH MEDICAL CENTER 300 PERSHING AVE. SHENANDOAH IA 51601 (712)246-1230 Owner MEGAN WALTER 2659 STATE HWY 2 CLARINDA IA 51632 (712)542-4171 Contact MEGAN WALTER   CLARINDA IA 51632 (712)542-4171 Certifier 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