Healthcare Provider Details

I. General information

NPI: 1285704692
Provider Name (Legal Business Name): KOSSUTH REGIONAL HEALTH CENTER
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 11/09/2006
Last Update Date: 05/04/2022
Certification Date: 05/04/2022
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1515 S PHILLIPS ST
ALGONA IA
50511-3649
US

IV. Provider business mailing address

1515 S PHILLIPS ST
ALGONA IA
50511-3649
US

V. Phone/Fax

Practice location:
  • Phone: 515-295-2451
  • Fax: 515-295-4505
Mailing address:
  • Phone: 515-295-2451
  • Fax: 515-295-4505

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code251E00000X
TaxonomyHome Health Agency
License Number550002H
License Number StateIA

VII. Legacy identifiers

For crosswalk purposes, the following legacy (non-NPI) identifiers are available for this provider:

# 1
Identifier67166
Identifier TypeOTHER
Identifier StateIA
Identifier IssuerHOME HEALTH
# 2
Identifier0671669
Identifier TypeMEDICAID
Identifier StateIA
Identifier Issuer

VIII. Authorized Official

Name: COLLETE MCCONNELL
Title or Position: CFO
Credential:
Phone: 515-295-4508