Provider Demographics
NPI:1043202062
Name:COUNTY OF TAYLOR
Entity Type:Organization
Organization Name:COUNTY OF TAYLOR
Other - Org Name:COUNTY AUDITOR
Other - Org Type:Other Name
Authorized Official - Title/Position:AGENCY ADMINISTRATOR
Authorized Official - Prefix:
Authorized Official - First Name:JOAN
Authorized Official - Middle Name:E
Authorized Official - Last Name:GALLAGHER
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:712-523-3405
Mailing Address - Street 1:405 JEFFERSON ST
Mailing Address - Street 2:STE 1
Mailing Address - City:BEDFORD
Mailing Address - State:IA
Mailing Address - Zip Code:50833-1300
Mailing Address - Country:US
Mailing Address - Phone:712-523-3405
Mailing Address - Fax:712-523-3402
Practice Address - Street 1:405 JEFFERSON ST
Practice Address - Street 2:STE 1
Practice Address - City:BEDFORD
Practice Address - State:IA
Practice Address - Zip Code:50833-1300
Practice Address - Country:US
Practice Address - Phone:712-523-3405
Practice Address - Fax:712-523-3402
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2005-08-16
Last Update Date:2016-01-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IA251E00000X, 251K00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health
No251K00000XAgenciesPublic Health or Welfare
Provider Identifiers
StateIdentifier IDID TypeIssuer
IA0670745Medicaid
IA167074Medicare Oscar/Certification