Provider Demographics
NPI:1689098725
Name:COUNTY OF MILLS
Entity Type:Organization
Organization Name:COUNTY OF MILLS
Other - Org Name:MILLS COUNTY PUBLIC HEALTH
Other - Org Type:Doing Business As
Authorized Official - Title/Position:AGENCY ADMINISTRATOR
Authorized Official - Prefix:MRS
Authorized Official - First Name:SHERYL
Authorized Official - Middle Name:JEAN
Authorized Official - Last Name:BOWEN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:712-527-9699
Mailing Address - Street 1:PO BOX 209
Mailing Address - Street 2:212 INDEPENDENCE
Mailing Address - City:GLENWOOD
Mailing Address - State:IA
Mailing Address - Zip Code:51534-0209
Mailing Address - Country:US
Mailing Address - Phone:712-527-9699
Mailing Address - Fax:712-527-4711
Practice Address - Street 1:212 INDEPENDENCE
Practice Address - Street 2:
Practice Address - City:GLENWOOD
Practice Address - State:IA
Practice Address - Zip Code:51534-0209
Practice Address - Country:US
Practice Address - Phone:712-527-9699
Practice Address - Fax:712-527-4711
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2014-02-10
Last Update Date:2014-02-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251K00000XAgenciesPublic Health or Welfare
Provider Identifiers
StateIdentifier IDID TypeIssuer
IA0670679Medicaid
IA0670679Medicaid