Provider Demographics
NPI:1801862800
Name:VISITING NURSE ASSOCIATION OF LINN COUNTY
Entity Type:Organization
Organization Name:VISITING NURSE ASSOCIATION OF LINN COUNTY
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:ADMINISTRATIVE ASSISTANT
Authorized Official - Prefix:MS
Authorized Official - First Name:MARILYN
Authorized Official - Middle Name:A
Authorized Official - Last Name:AUCUTT
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:319-369-7990
Mailing Address - Street 1:600 BOYSON RD NE STE 2
Mailing Address - Street 2:
Mailing Address - City:CEDAR RAPIDS
Mailing Address - State:IA
Mailing Address - Zip Code:52402-7221
Mailing Address - Country:US
Mailing Address - Phone:319-369-7990
Mailing Address - Fax:
Practice Address - Street 1:600 BOYSON RD NE STE 2
Practice Address - Street 2:
Practice Address - City:CEDAR RAPIDS
Practice Address - State:IA
Practice Address - Zip Code:52402-7221
Practice Address - Country:US
Practice Address - Phone:319-369-7990
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-02-28
Last Update Date:2012-01-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IAN/A251E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
IA0670059Medicaid
IA0670059Medicaid