Provider Demographics
NPI:1588626022
Name:COMMUNITY HEALTH SERVICES OF MARION COUNTY
Entity Type:Organization
Organization Name:COMMUNITY HEALTH SERVICES OF MARION COUNTY
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DIRECTOR
Authorized Official - Prefix:MRS
Authorized Official - First Name:KIM
Authorized Official - Middle Name:
Authorized Official - Last Name:DORN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:641-828-2238
Mailing Address - Street 1:PO BOX 152
Mailing Address - Street 2:
Mailing Address - City:KNOXVILLE
Mailing Address - State:IA
Mailing Address - Zip Code:50138-0152
Mailing Address - Country:US
Mailing Address - Phone:641-828-2238
Mailing Address - Fax:641-842-3442
Practice Address - Street 1:104 S 6TH ST
Practice Address - Street 2:
Practice Address - City:KNOXVILLE
Practice Address - State:IA
Practice Address - Zip Code:50138-1717
Practice Address - Country:US
Practice Address - Phone:641-828-2238
Practice Address - Fax:641-842-3442
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-04-03
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251K00000XAgenciesPublic Health or Welfare
Provider Identifiers
StateIdentifier IDID TypeIssuer
IA0147868Medicaid
IABG00985Medicare ID - Type UnspecifiedTRADING PARTNER ID