Healthcare Provider Details

I. General information

NPI: 1710964135
Provider Name (Legal Business Name): COUNTY OF WRIGHT
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 12/28/2005
Last Update Date: 09/21/2012
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

115 1ST ST SE
CLARION IA
50525-1401
US

IV. Provider business mailing address

115 1ST ST SE
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 Code251G00000X
TaxonomyCommunity Based Hospice Care Agency
License Number
License Number State

VII. Legacy identifiers

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

# 1
Identifier0615567
Identifier TypeMEDICAID
Identifier StateIA
Identifier Issuer
# 2
Identifier61556
Identifier TypeOTHER
Identifier State
Identifier IssuerBCBS

VIII. Authorized Official

Name: MRS. LINDA KLEHM
Title or Position: ADMINISTRATOR
Credential: RN
Phone: 515-532-3461