Healthcare Provider Details

I. General information

NPI: 1093818189
Provider Name (Legal Business Name): COUNTY OF POCAHONTAS
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 09/06/2006
Last Update Date: 08/13/2025
Certification Date: 08/13/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

21 3RD AVE NE
POCAHONTAS IA
50574-1614
US

IV. Provider business mailing address

99 COURT SQUARE
POCAHONTAS IA
50574-1629
US

V. Phone/Fax

Practice location:
  • Phone: 712-335-4142
  • Fax: 712-335-3581
Mailing address:
  • Phone: 712-335-4142
  • Fax: 712-335-3581

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code251E00000X
TaxonomyHome Health Agency
License NumberN/A
License Number State

VIII. Authorized Official

Name: JILL SUE CONLIN
Title or Position: ADMINISTRATOR
Credential: LBSW
Phone: 712-335-4142