Provider Demographics
NPI:1942807359
Name:COUNTY OF BREMER
Entity Type:Organization
Organization Name:COUNTY OF BREMER
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:ADMINISTRATOR
Authorized Official - Prefix:
Authorized Official - First Name:LINDLEY
Authorized Official - Middle Name:RAE
Authorized Official - Last Name:SHARP
Authorized Official - Suffix:
Authorized Official - Credentials:MPH, FMCHC
Authorized Official - Phone:319-352-0082
Mailing Address - Street 1:403 3RD ST SE
Mailing Address - Street 2:
Mailing Address - City:WAVERLY
Mailing Address - State:IA
Mailing Address - Zip Code:50677-3513
Mailing Address - Country:US
Mailing Address - Phone:319-352-0082
Mailing Address - Fax:319-352-5092
Practice Address - Street 1:403 3RD ST SE
Practice Address - Street 2:
Practice Address - City:WAVERLY
Practice Address - State:IA
Practice Address - Zip Code:50677-3513
Practice Address - Country:US
Practice Address - Phone:319-352-0082
Practice Address - Fax:319-352-5092
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:COUNTY OF BREMER
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2020-10-08
Last Update Date:2020-10-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251K00000XAgenciesPublic Health or Welfare