MEDICARE: COUNTY OF WARREN

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
1	251K00000X	Public Health or Welfare Agency		IA
2	251E00000X	Home Health Agency		IA

Other Identifiers

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

General Provider Information

NPI Number	:	1649267113
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	COUNTY OF WARREN

Provider Business Mailing Address
First Line	:	301 NORTH BUXTON STREET
Second Line	:	SUITE 203
City	:	INDIANOLA
State	:	IA
Zip	:	50125-1801
Country	:	US
Telephone Number	:	515-690-9190
Fax Number	:	515-690-9209

Provider Business Practice Location Address
First Line	:	301 NORTH BUXTON STREET
Second Line	:	SUITE 203
City	:	INDIANOLA
State	:	IA
Zip	:	50125-1801
Country	:	US
Telephone Number	:	515-690-9190
Fax Number	:	515-690-9209

Authorized Official
Title or Position	:	PUBLIC HEALTH DIRECTOR/ADMINISTRATO
Name	:	DR. JOELLE MARIE STOLTE
Credential	:	PHD, MPH
Telephone Number	:	515-690-9190

Provider Enumeration Date	:	09/30/2005
Last Update Date	:	12/13/2023

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Directions to “COUNTY OF WARREN ” Practice Location

Language	Start Address	Practice Location

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