Healthcare Provider Details

I. General information

NPI: 1184798761
Provider Name (Legal Business Name): COUNTY OF IOWA
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 11/17/2006
Last Update Date: 10/19/2010
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3151 COUNTY ROAD CH
DODGEVILLE WI
53533-9108
US

IV. Provider business mailing address

222 N IOWA ST
DODGEVILLE WI
53533-1540
US

V. Phone/Fax

Practice location:
  • Phone: 608-935-3321
  • Fax: 608-935-3962
Mailing address:
  • Phone: 608-935-0397
  • Fax: 608-935-6024

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code314000000X
TaxonomySkilled Nursing Facility
License Number2364
License Number StateWI

VIII. Authorized Official

Name: MS. BARBARA B LINSCHEID
Title or Position: NURSING HOME ADMINISTRATOR
Credential: NHA
Phone: 608-935-3321