Provider Demographics
NPI:1124011333
Name:COUNTY OF RINGGOLD
Entity Type:Organization
Organization Name:COUNTY OF RINGGOLD
Other - Org Name:RINGGOLD COUNTY PUBLIC HEALTH
Other - Org Type:Doing Business As
Authorized Official - Title/Position:BOARD OF HEALTH CHAIRMAN
Authorized Official - Prefix:
Authorized Official - First Name:BRUCE
Authorized Official - Middle Name:
Authorized Official - Last Name:RICKER
Authorized Official - Suffix:
Authorized Official - Credentials:DO
Authorized Official - Phone:641-464-4470
Mailing Address - Street 1:119 S FILLMORE ST
Mailing Address - Street 2:
Mailing Address - City:MOUNT AYR
Mailing Address - State:IA
Mailing Address - Zip Code:50854-1823
Mailing Address - Country:US
Mailing Address - Phone:641-464-0691
Mailing Address - Fax:
Practice Address - Street 1:119 S FILLMORE ST
Practice Address - Street 2:
Practice Address - City:MOUNT AYR
Practice Address - State:IA
Practice Address - Zip Code:50854-1823
Practice Address - Country:US
Practice Address - Phone:641-464-0691
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2005-08-24
Last Update Date:2014-02-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
IA0670570Medicaid
IA167057Medicare ID - Type Unspecified