Provider Demographics
NPI:1790108850
Name:LOUISA COUNTY
Entity Type:Organization
Organization Name:LOUISA COUNTY
Other - Org Name:LOUISA COUNTY PUBLIC HEALTH
Other - Org Type:Doing Business As
Authorized Official - Title/Position:ADMIN
Authorized Official - Prefix:
Authorized Official - First Name:PATRICIA
Authorized Official - Middle Name:K
Authorized Official - Last Name:SALLEE
Authorized Official - Suffix:
Authorized Official - Credentials:RN MSN
Authorized Official - Phone:319-523-3981
Mailing Address - Street 1:805 J L HODGES AVE N
Mailing Address - Street 2:
Mailing Address - City:WAPELLO
Mailing Address - State:IA
Mailing Address - Zip Code:52653-1044
Mailing Address - Country:US
Mailing Address - Phone:319-523-3981
Mailing Address - Fax:319-523-8408
Practice Address - Street 1:805 J L HODGES AVE N
Practice Address - Street 2:
Practice Address - City:WAPELLO
Practice Address - State:IA
Practice Address - Zip Code:52653-1044
Practice Address - Country:US
Practice Address - Phone:319-523-3981
Practice Address - Fax:319-523-8408
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2014-01-27
Last Update Date:2014-01-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IA251K00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251K00000XAgenciesPublic Health or Welfare