Healthcare Provider Details

I. General information

NPI: 1982681508
Provider Name (Legal Business Name): COUNTY OF WRIGHT
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 12/23/2005
Last Update Date: 11/26/2024
Certification Date: 11/26/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

120 1ST AVE NW STE 1
CLARION IA
50525-1445
US

IV. Provider business mailing address

120 1ST AVE NW SUITE #1
CLARION IA
50525-1401
US

V. Phone/Fax

Practice location:
  • Phone: 515-532-3461
  • Fax: 515-532-3762
Mailing address:
  • Phone: 515-532-3461
  • Fax: 515-532-3762

VI. Provider taxonomy

Scope of Practice (Provider specialty)

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

VII. Legacy identifiers

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

# 1
Identifier0671347
Identifier TypeMEDICAID
Identifier StateIA
Identifier Issuer
# 2
Identifier67134
Identifier TypeOTHER
Identifier State
Identifier IssuerBCBS

VIII. Authorized Official

Name: SANDRA LYNN MCGRATH
Title or Position: ADMINISTRATOR
Credential:
Phone: 515-532-3461