Healthcare Provider Details

I. General information

NPI: 1649267113
Provider Name (Legal Business Name): COUNTY OF WARREN
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 09/30/2005
Last Update Date: 12/13/2023
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

301 NORTH BUXTON STREET SUITE 203
INDIANOLA IA
50125-1801
US

IV. Provider business mailing address

301 NORTH BUXTON STREET SUITE 203
INDIANOLA IA
50125-1801
US

V. Phone/Fax

Practice location:
  • Phone: 515-690-9190
  • Fax: 515-690-9209
Mailing address:
  • Phone: 515-690-9190
  • Fax: 515-690-9209

VI. Provider taxonomy

Scope of Practice (Provider specialty)

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

VIII. Authorized Official

Name: DR. JOELLE MARIE STOLTE
Title or Position: PUBLIC HEALTH DIRECTOR/ADMINISTRATO
Credential: PHD, MPH
Phone: 515-690-9190