Provider Demographics
NPI:1093793051
Name:COUNTY OF DECATUR
Entity Type:Organization
Organization Name:COUNTY OF DECATUR
Other - Org Name:DECATUR COUNTY PUBLIC HEALTH AND HOME CARE
Other - Org Type:Doing Business As
Authorized Official - Title/Position:OFFICE MANAGER
Authorized Official - Prefix:
Authorized Official - First Name:TERRE
Authorized Official - Middle Name:ANN
Authorized Official - Last Name:ACHESON
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:641-446-6518
Mailing Address - Street 1:207 NE IDAHO ST
Mailing Address - Street 2:
Mailing Address - City:LEON
Mailing Address - State:IA
Mailing Address - Zip Code:50144-1646
Mailing Address - Country:US
Mailing Address - Phone:641-446-6518
Mailing Address - Fax:
Practice Address - Street 1:207 NE IDAHO ST
Practice Address - Street 2:
Practice Address - City:LEON
Practice Address - State:IA
Practice Address - Zip Code:50144
Practice Address - Country:US
Practice Address - Phone:641-446-6518
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-01-09
Last Update Date:2021-06-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IA251EOOOOOX251E00000X
251K00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251K00000XAgenciesPublic Health or Welfare
No251E00000XAgenciesHome Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
IA0671685Medicaid
IA67098OtherWELLMARK BC/BS
167098Medicare Oscar/Certification
IA167098Medicare ID - Type UnspecifiedMEDICARE NUMBER