Healthcare Provider Details

I. General information

NPI: 1285825174
Provider Name (Legal Business Name): HAMILTON COUNTY SOCIAL SERVICES
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/06/2007
Last Update Date: 06/17/2008
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

500 FAIRMEADOW DRIVE
WEBSTER CITY IA
50595-3189
US

IV. Provider business mailing address

500 FAIRMEADOW DRIVE
WEBSTER CITY IA
50595-3189
US

V. Phone/Fax

Practice location:
  • Phone: 515-832-9550
  • Fax: 515-832-9554
Mailing address:
  • Phone: 515-832-9550
  • Fax: 515-832-9554

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code251C00000X
TaxonomyDevelopmentally Disabled Services Day Training Agency
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code251S00000X
TaxonomyCommunity/Behavioral Health Agency
License Number
License Number State

VIII. Authorized Official

Name: MR. KENRIC JOSEPH WEINSCHENK
Title or Position: CENTER MANAGER
Credential:
Phone: 515-832-9550