Healthcare Provider Details
I. General information
NPI: 1811683550
Provider Name (Legal Business Name): COUNTY OF KOSSUTH
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 04/14/2023
Last Update Date: 04/14/2023
Certification Date: 04/14/2023
Deactivation Date:
Reactivation Date:
III. Provider practice location address
108 S HALL ST STE 2
ALGONA IA
50511-2601
US
IV. Provider business mailing address
108 S HALL ST STE 2
ALGONA IA
50511-2601
US
V. Phone/Fax
- Phone: 515-395-3180
- Fax:
- Phone:
- Fax:
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 3416L0300X |
| Taxonomy | Land Ambulance |
| License Number | |
| License Number State | |
VII. Legacy identifiers
For crosswalk purposes, the following legacy (non-NPI) identifiers are available for this provider:
VIII. Authorized Official
Name:
PHILIP
A
ALBERS
Title or Position: EMS DIRECTOR
Credential:
Phone: 515-395-3180