Healthcare Provider Details
I. General information
NPI: 1831162080
Provider Name (Legal Business Name): MONROE COUNTY IOWA
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 02/08/2006
Last Update Date: 12/06/2022
Certification Date: 12/06/2022
Deactivation Date:
Reactivation Date:
III. Provider practice location address
1801 S B STREET
ALBIA IA
52531-2689
US
IV. Provider business mailing address
1801 S B STREET
ALBIA IA
52531-2689
US
V. Phone/Fax
- Phone: 641-932-7191
- Fax: 641-932-5075
- Phone: 641-932-7191
- Fax: 641-932-5075
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | N |
| Taxonomy Code | 251E00000X |
| Taxonomy | Home Health Agency |
| License Number | |
| License Number State | |
| # 2 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 251E00000X |
| Taxonomy | Home Health Agency |
| License Number | |
| License Number State | IA |
VIII. Authorized Official
Name: MRS.
KIM
HUGEN
Title or Position: NURSE ADMINISTRATOR
Credential: RN
Phone: 641-932-7191