Healthcare Provider Details

I. General information

NPI: 1740129303
Provider Name (Legal Business Name): BOONE COUNTY HOSPITAL
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 03/27/2026
Last Update Date: 03/27/2026
Certification Date: 03/26/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1015 UNION ST
BOONE IA
50036-4821
US

IV. Provider business mailing address

1015 UNION ST
BOONE IA
50036-4821
US

V. Phone/Fax

Practice location:
  • Phone: 515-432-3140
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code332U00000X
TaxonomyHome Delivered Meals
License Number
License Number State

VIII. Authorized Official

Name: MIKAELA KIENITZ
Title or Position: CEO
Credential:
Phone: 515-432-3140