MEDICARE: COUNTY OF FLOYD

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	251E00000X	Home Health Agency

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
2	67051	OTHER	IA	WELLMARK BCBS OF IOWA

General Provider Information

NPI Number	:	1801879440
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	COUNTY OF FLOYD

Provider Business Mailing Address
First Line	:	1003 GILBERT ST
Second Line	:
City	:	CHARLES CITY
State	:	IA
Zip	:	50616-2637
Country	:	US
Telephone Number	:	641-257-6111
Fax Number	:	641-257-6146

Provider Business Practice Location Address
First Line	:	1003 GILBERT ST
Second Line	:
City	:	CHARLES CITY
State	:	IA
Zip	:	50616-2637
Country	:	US
Telephone Number	:	641-257-6111
Fax Number	:	641-257-6146

Authorized Official
Title or Position	:	FLOYD CO BOARD OF SUPR
Name	:	MR. DOUGLAS A KAMM
Credential	:
Telephone Number	:	641-257-6129

Provider Enumeration Date	:	11/29/2005
Last Update Date	:	04/18/2013

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Directions to “COUNTY OF FLOYD ” Practice Location

Language	Start Address	Practice Location

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