Healthcare Provider Details

I. General information

NPI: 1427104082
Provider Name (Legal Business Name): IIHS INC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 01/26/2007
Last Update Date: 07/31/2023
Certification Date: 07/07/2023
Deactivation Date:
Reactivation Date:

III. Provider practice location address

401 WASHINGTON AVENUE
WEST PLAINS MO
65775-3444
US

IV. Provider business mailing address

401 WASHINGTON AVENUE
WEST PLAINS MO
65775-3444
US

V. Phone/Fax

Practice location:
  • Phone: 417-256-8722
  • Fax: 417-256-8733
Mailing address:
  • Phone: 417-256-8722
  • Fax: 417-256-8733

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code3747A0650X
TaxonomyAttendant Care Provider
License Number
License Number StateNULL
# 2
Primary TaxonomyN
Taxonomy Code253Z00000X
TaxonomyIn Home Supportive Care Agency
License Number
License Number StateNULL

VIII. Authorized Official

Name: MS. DEBRA JORGENSEN
Title or Position: CERTIFIED MANAGER
Credential:
Phone: 417-256-8722