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NPI Code Detail

MEDICARE: TAYLOR COUNTY PUBLIC HEALTH AGENCY

MEDICARE: TAYLOR COUNTY PUBLIC HEALTH AGENCY
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1251K00000XPublic Health or Welfare Agency

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1285791434
Entity Type Code : Organization
Provider Name (Legal Business Name) : TAYLOR COUNTY PUBLIC HEALTH AGENCY
Provider Business Mailing Address
First Line : 405 JEFFERSON ST
Second Line :
City : BEDFORD
State : IA
Zip : 50833-1300
Country : US
Telephone Number : 712-523-3405
Fax Number : 712-523-3402
Provider Business Practice Location Address
First Line : 405 JEFFERSON ST
Second Line :
City : BEDFORD
State : IA
Zip : 50833-1300
Country : US
Telephone Number : 712-523-3405
Fax Number : 712-523-3402
Authorized Official
Title or Position : MCH PROGRAM DIRECTOR
Name : JOAN GALLAGHER
Credential :
Telephone Number : 712-523-3405
Provider Enumeration Date : 01/03/2007
Last Update Date : 08/22/2020

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Directions to “TAYLOR COUNTY PUBLIC HEALTH AGENCY ” Practice Location

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