Provider Demographics
NPI:1336131135
Name:CARROLL AREA NURSING SERVICE, INC.
Entity Type:Organization
Organization Name:CARROLL AREA NURSING SERVICE, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:ADMINISTRATOR
Authorized Official - Prefix:MS
Authorized Official - First Name:LORETTA
Authorized Official - Middle Name:M
Authorized Official - Last Name:BIERL
Authorized Official - Suffix:
Authorized Official - Credentials:RN
Authorized Official - Phone:712-792-1111
Mailing Address - Street 1:PO BOX 683
Mailing Address - Street 2:
Mailing Address - City:CARROLL
Mailing Address - State:IA
Mailing Address - Zip Code:51401-0683
Mailing Address - Country:US
Mailing Address - Phone:712-792-1111
Mailing Address - Fax:712-792-8068
Practice Address - Street 1:603 W 8TH ST
Practice Address - Street 2:
Practice Address - City:CARROLL
Practice Address - State:IA
Practice Address - Zip Code:51401-2209
Practice Address - Country:US
Practice Address - Phone:712-792-1111
Practice Address - Fax:712-792-8068
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2005-08-17
Last Update Date:2008-06-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
IA0672139Medicaid
IA67213OtherWELLMARK,BCBS
IA0672139Medicaid
IA67213OtherWELLMARK,BCBS
IA0672139Medicaid