Healthcare Provider Details

I. General information

NPI: 1811963648
Provider Name (Legal Business Name): WAYNE COUNTY TREASURY
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 02/23/2006
Last Update Date: 04/06/2026
Certification Date: 04/06/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

105 N LAFAYETTE ST
CORYDON IA
50060-1724
US

IV. Provider business mailing address

PO BOX 102
CORYDON IA
50060-0102
US

V. Phone/Fax

Practice location:
  • Phone: 641-872-1167
  • Fax: 641-872-1174
Mailing address:
  • Phone: 641-872-1167
  • Fax: 641-872-1174

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code251E00000X
TaxonomyHome Health Agency
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code251K00000X
TaxonomyPublic Health or Welfare Agency
License Number
License Number State

VIII. Authorized Official

Name: MRS. SUSAN MOORE
Title or Position: RN/ADMINISTRATOR
Credential:
Phone: 641-872-1167