Provider Demographics
NPI:1184039679
Name:LEE COUNTY AUDITOR
Entity Type:Organization
Organization Name:LEE COUNTY AUDITOR
Other - Org Name:LEE COUNTY HEALTH DEPARTMENT
Other - Org Type:Doing Business As
Authorized Official - Title/Position:ADMINISTRATOR
Authorized Official - Prefix:
Authorized Official - First Name:MICHELE
Authorized Official - Middle Name:D
Authorized Official - Last Name:ROSS
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:319-372-5225
Mailing Address - Street 1:PO BOX 1426
Mailing Address - Street 2:
Mailing Address - City:FORT MADISON
Mailing Address - State:IA
Mailing Address - Zip Code:52627-1426
Mailing Address - Country:US
Mailing Address - Phone:319-372-5225
Mailing Address - Fax:319-372-4374
Practice Address - Street 1:3 JOHN BENNETT DRIVE
Practice Address - Street 2:
Practice Address - City:FORT MADISON
Practice Address - State:IA
Practice Address - Zip Code:52627-1426
Practice Address - Country:US
Practice Address - Phone:319-372-5225
Practice Address - Fax:319-372-4374
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2014-06-24
Last Update Date:2020-12-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IA251K00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251K00000XAgenciesPublic Health or Welfare
Provider Identifiers
StateIdentifier IDID TypeIssuer
167055Medicare UPIN
IA0670554Medicaid
IA0615179Medicaid