Healthcare Provider Details

I. General information

NPI: 1801879440
Provider Name (Legal Business Name): COUNTY OF FLOYD
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 11/29/2005
Last Update Date: 04/18/2013
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1003 GILBERT ST
CHARLES CITY IA
50616-2637
US

IV. Provider business mailing address

1003 GILBERT ST
CHARLES CITY IA
50616-2637
US

V. Phone/Fax

Practice location:
  • Phone: 641-257-6111
  • Fax: 641-257-6146
Mailing address:
  • Phone: 641-257-6111
  • Fax: 641-257-6146

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code251E00000X
TaxonomyHome Health Agency
License Number
License Number State

VIII. Authorized Official

Name: MR. DOUGLAS A KAMM
Title or Position: FLOYD CO BOARD OF SUPR
Credential:
Phone: 641-257-6129