Provider Demographics
NPI:1356445456
Name:REGIONAL HEALTH SERVICES OF HOWARD COUNTY
Entity Type:Organization
Organization Name:REGIONAL HEALTH SERVICES OF HOWARD COUNTY
Other - Org Name:COMMUNITY HEALTH SERVICES
Other - Org Type:Doing Business As
Authorized Official - Title/Position:DIRECTOR
Authorized Official - Prefix:
Authorized Official - First Name:JENNIFER
Authorized Official - Middle Name:
Authorized Official - Last Name:BURKE
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:563-547-2022
Mailing Address - Street 1:235 8TH AVE W
Mailing Address - Street 2:
Mailing Address - City:CRESCO
Mailing Address - State:IA
Mailing Address - Zip Code:52136-1062
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:402 2ND AVE SE
Practice Address - Street 2:
Practice Address - City:CRESCO
Practice Address - State:IA
Practice Address - Zip Code:52136-1816
Practice Address - Country:US
Practice Address - Phone:563-547-2989
Practice Address - Fax:563-547-4223
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:REGIONAL HEALTH SERVICES OF HOWARD COUNTY
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2006-09-11
Last Update Date:2024-02-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IA450057H251E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
IA0671354Medicaid
IA67077OtherBLUE CROSS
IA0671354Medicaid