Healthcare Provider Details

I. General information

NPI: 1629101258
Provider Name (Legal Business Name): COUNTY OF CALHOUN COUNTY AUDITOR
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 03/13/2007
Last Update Date: 09/27/2007
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

501 COURT ST
ROCKWELL CITY IA
50579-1417
US

IV. Provider business mailing address

501 COURT ST
ROCKWELL CITY IA
50579-1417
US

V. Phone/Fax

Practice location:
  • Phone: 712-297-8323
  • Fax: 712-297-7530
Mailing address:
  • Phone: 712-297-8323
  • Fax: 712-297-7530

VI. Provider taxonomy

Scope of Practice (Provider specialty)

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

VIII. Authorized Official

Name: JANE E. CONDON
Title or Position: ADMINISTRATOR
Credential: NURSE
Phone: 712-297-8323