Provider Demographics
NPI:1750448502
Name:JONES COUNTY BOARD OF SUPERVISORS
Entity Type:Organization
Organization Name:JONES COUNTY BOARD OF SUPERVISORS
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CHAIRMAN, BOARD OF SUPERVISORS
Authorized Official - Prefix:
Authorized Official - First Name:JOE
Authorized Official - Middle Name:
Authorized Official - Last Name:CRUISE
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:319-462-2282
Mailing Address - Street 1:500 W MAIN ST
Mailing Address - Street 2:PO BOX 109
Mailing Address - City:ANAMOSA
Mailing Address - State:IA
Mailing Address - Zip Code:52205-1632
Mailing Address - Country:US
Mailing Address - Phone:319-462-2282
Mailing Address - Fax:319-462-5815
Practice Address - Street 1:500 W MAIN ST
Practice Address - Street 2:
Practice Address - City:ANAMOSA
Practice Address - State:IA
Practice Address - Zip Code:52205-1632
Practice Address - Country:US
Practice Address - Phone:319-462-2282
Practice Address - Fax:319-462-5815
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-01-02
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332U00000XSuppliersHome Delivered Meals
Provider Identifiers
StateIdentifier IDID TypeIssuer
IA0232850Medicaid