Provider Demographics
NPI:1962690016
Name:ROE CORPORATION
Entity Type:Organization
Organization Name:ROE CORPORATION
Other - Org Name:ROE HEATING & REFRIGERATION
Other - Org Type:Doing Business As
Authorized Official - Title/Position:COMPTROLLER
Authorized Official - Prefix:MRS
Authorized Official - First Name:PATTY
Authorized Official - Middle Name:
Authorized Official - Last Name:ROE
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:319-653-6646
Mailing Address - Street 1:114 N IOWA AVE
Mailing Address - Street 2:
Mailing Address - City:WASHINGTON
Mailing Address - State:IA
Mailing Address - Zip Code:52353-2002
Mailing Address - Country:US
Mailing Address - Phone:319-653-6646
Mailing Address - Fax:319-653-2991
Practice Address - Street 1:114 N IOWA AVE
Practice Address - Street 2:
Practice Address - City:WASHINGTON
Practice Address - State:IA
Practice Address - Zip Code:52353-2002
Practice Address - Country:US
Practice Address - Phone:319-653-6646
Practice Address - Fax:319-653-2991
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-10-12
Last Update Date:2007-10-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
IA0262568Medicaid