Provider Demographics
NPI:1841617578
Name:COUNTY OF CHICKASAW
Entity Type:Organization
Organization Name:COUNTY OF CHICKASAW
Other - Org Name:CHICKASAW COUNTY PUBLIC HEALTH AND HOME CARE SERVICES
Other - Org Type:Doing Business As
Authorized Official - Title/Position:ADMINISTRATOR
Authorized Official - Prefix:
Authorized Official - First Name:KATHYRN
Authorized Official - Middle Name:
Authorized Official - Last Name:BABCOCK
Authorized Official - Suffix:
Authorized Official - Credentials:RN BSN
Authorized Official - Phone:641-394-4053
Mailing Address - Street 1:260 E PROSPECT ST
Mailing Address - Street 2:PO BOX 355
Mailing Address - City:NEW HAMPTON
Mailing Address - State:IA
Mailing Address - Zip Code:50659-1429
Mailing Address - Country:US
Mailing Address - Phone:641-394-4053
Mailing Address - Fax:641-394-5814
Practice Address - Street 1:260 E PROSPECT ST
Practice Address - Street 2:
Practice Address - City:NEW HAMPTON
Practice Address - State:IA
Practice Address - Zip Code:50659-1429
Practice Address - Country:US
Practice Address - Phone:641-394-4053
Practice Address - Fax:641-394-5814
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2014-03-19
Last Update Date:2014-03-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IA0670760251K00000X
IA67076251K00000X
IA167076251K00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251K00000XAgenciesPublic Health or Welfare