Healthcare Provider Details

I. General information

NPI: 1336946029
Provider Name (Legal Business Name): COUNTY OF GUTHRIE
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 02/28/2025
Last Update Date: 02/28/2025
Certification Date: 02/28/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2002 STATE ST
GUTHRIE CENTER IA
50115-8897
US

IV. Provider business mailing address

2002 STATE ST
GUTHRIE CENTER IA
50115-8897
US

V. Phone/Fax

Practice location:
  • Phone: 641-747-3972
  • Fax: 641-747-3839
Mailing address:
  • Phone: 641-747-3972
  • Fax: 641-747-3839

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code363LW0102X
TaxonomyWomen's Health Nurse Practitioner
License Number
License Number State

VIII. Authorized Official

Name: MR. JOTHAM ARBER
Title or Position: EXECUTIVE DIRECTOR
Credential:
Phone: 641-747-3972