Healthcare Provider Details

I. General information

NPI: 1922426832
Provider Name (Legal Business Name): WORTH COUNTY PUBLIC HEALTH
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 03/29/2014
Last Update Date: 03/29/2014
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

95 9TH ST N
NORTHWOOD IA
50459-1436
US

IV. Provider business mailing address

95 9TH ST N
NORTHWOOD IA
50459-1436
US

V. Phone/Fax

Practice location:
  • Phone: 641-324-1741
  • Fax: 641-324-2195
Mailing address:
  • Phone: 641-324-1741
  • Fax: 641-324-2195

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code251K00000X
TaxonomyPublic Health or Welfare Agency
License Number
License Number StateIA

VIII. Authorized Official

Name: SARAH K BRUCE
Title or Position: DIRECTOR OF FINANCE
Credential:
Phone: 641-324-1741