Healthcare Provider Details

I. General information

NPI: 1639593130
Provider Name (Legal Business Name): MONROE COUNTY IOWA
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 02/05/2014
Last Update Date: 02/05/2014
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1801 S B ST
ALBIA IA
52531-2689
US

IV. Provider business mailing address

1801 S B ST
ALBIA IA
52531-2689
US

V. Phone/Fax

Practice location:
  • Phone: 641-932-7191
  • Fax: 641-932-5075
Mailing address:
  • Phone: 641-932-7191
  • Fax: 641-932-5075

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code251K00000X
TaxonomyPublic Health or Welfare Agency
License Number
License Number State

VIII. Authorized Official

Name: KATHRYN WELSH
Title or Position: ADMINISTRATOR
Credential:
Phone: 641-932-7191