Provider Demographics
NPI:1750823845
Name:COUNTY OF BUTLER
Entity Type:Organization
Organization Name:COUNTY OF BUTLER
Other - Org Name:BUTLER COUNTY PUBLIC HEALTH
Other - Org Type:Doing Business As
Authorized Official - Title/Position:AGENCY DIRECTOR
Authorized Official - Prefix:
Authorized Official - First Name:JENNIFER
Authorized Official - Middle Name:L
Authorized Official - Last Name:BECKER
Authorized Official - Suffix:
Authorized Official - Credentials:RN, BSN
Authorized Official - Phone:319-267-2934
Mailing Address - Street 1:428 6TH ST # 325
Mailing Address - Street 2:
Mailing Address - City:ALLISON
Mailing Address - State:IA
Mailing Address - Zip Code:50602-7771
Mailing Address - Country:US
Mailing Address - Phone:319-267-2934
Mailing Address - Fax:319-267-2113
Practice Address - Street 1:428 6TH ST # 325
Practice Address - Street 2:
Practice Address - City:ALLISON
Practice Address - State:IA
Practice Address - Zip Code:50602-7771
Practice Address - Country:US
Practice Address - Phone:319-267-2934
Practice Address - Fax:319-267-2113
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2016-11-07
Last Update Date:2018-06-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251K00000XAgenciesPublic Health or Welfare
Provider Identifiers
StateIdentifier IDID TypeIssuer
IA067095Medicaid
IA067095Medicaid