Provider Demographics
NPI:1760686067
Name:MITCHELL COUNTY CARE FACILITY
Entity Type:Organization
Organization Name:MITCHELL COUNTY CARE FACILITY
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:ADM
Authorized Official - Prefix:MRS
Authorized Official - First Name:MARGARET
Authorized Official - Middle Name:A
Authorized Official - Last Name:HANSON
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:641-732-3145
Mailing Address - Street 1:3834 MARCH AVE
Mailing Address - Street 2:
Mailing Address - City:OSAGE
Mailing Address - State:IA
Mailing Address - Zip Code:50461-8372
Mailing Address - Country:US
Mailing Address - Phone:641-732-3145
Mailing Address - Fax:641-732-3145
Practice Address - Street 1:3834 MARCH AVE
Practice Address - Street 2:
Practice Address - City:OSAGE
Practice Address - State:IA
Practice Address - Zip Code:50461-8372
Practice Address - Country:US
Practice Address - Phone:641-732-3145
Practice Address - Fax:641-732-3145
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-06-12
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IA660549311Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes311Z00000XNursing & Custodial Care FacilitiesCustodial Care Facility