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NPI Code Detail

MEDICARE: COUNTY OF CHICKASAW

MEDICARE: COUNTY OF CHICKASAW
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1251E00000XHome Health Agency
2251E00000XHome Health Agency00000000000IA

General Provider Information

NPI Number : 1669699591
Entity Type Code : Organization
Provider Name (Legal Business Name) : COUNTY OF CHICKASAW
Provider Business Mailing Address
First Line : 260 E PROSPECT ST
Second Line : PO BOX 125
City : NEW HAMPTON
State : IA
Zip : 50659-1429
Country : US
Telephone Number : 641-394-2049
Fax Number : 641-394-2179
Provider Business Practice Location Address
First Line : 260 E PROSPECT ST
Second Line :
City : NEW HAMPTON
State : IA
Zip : 50659-1429
Country : US
Telephone Number : 641-394-2049
Fax Number : 641-394-2179
Authorized Official
Title or Position : OFFICE MANAGER
Name : MRS. ANITA MARIE ESCHWEILER
Credential :
Telephone Number : 641-394-2049
Provider Enumeration Date : 04/20/2007
Last Update Date : 08/05/2008

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Directions to “COUNTY OF CHICKASAW ” Practice Location

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