Provider Demographics
NPI:1093774739
Name:COUNTY OF HARRISON
Entity Type:Organization
Organization Name:COUNTY OF HARRISON
Other - Org Name:HARRISON COUNTY HOME AND PUBLIC HEALTH
Other - Org Type:Doing Business As
Authorized Official - Title/Position:ADMINISTRATOR
Authorized Official - Prefix:
Authorized Official - First Name:DAVID
Authorized Official - Middle Name:
Authorized Official - Last Name:SHERER
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:712-644-2220
Mailing Address - Street 1:122 W. 8TH STREET
Mailing Address - Street 2:
Mailing Address - City:LOGAN
Mailing Address - State:IA
Mailing Address - Zip Code:51546-1416
Mailing Address - Country:US
Mailing Address - Phone:712-644-2220
Mailing Address - Fax:712-644-3238
Practice Address - Street 1:122 W. 8TH STREET
Practice Address - Street 2:
Practice Address - City:LOGAN
Practice Address - State:IA
Practice Address - Zip Code:51546-1416
Practice Address - Country:US
Practice Address - Phone:712-644-2220
Practice Address - Fax:712-644-3238
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-03-21
Last Update Date:2022-08-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
IA0670463Medicaid
IA167046OtherMEDICARE PTAN
IA67046OtherWELLMARK