Provider Demographics
NPI:1972873073
Name:COUNTY OF LINN
Entity Type:Organization
Organization Name:COUNTY OF LINN
Other - Org Name:LINN COUNTY PUBLIC HEALTH DIVISION OF CLINICAL SERVICES
Other - Org Type:Other Name
Authorized Official - Title/Position:HEALTH DIRECTOR
Authorized Official - Prefix:MS
Authorized Official - First Name:PRAMOD
Authorized Official - Middle Name:
Authorized Official - Last Name:DWIVEDI
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:319-892-6000
Mailing Address - Street 1:501 13TH ST NW
Mailing Address - Street 2:
Mailing Address - City:CEDAR RAPIDS
Mailing Address - State:IA
Mailing Address - Zip Code:52405-3700
Mailing Address - Country:US
Mailing Address - Phone:319-892-6000
Mailing Address - Fax:319-892-6098
Practice Address - Street 1:1020 6TH ST SE
Practice Address - Street 2:
Practice Address - City:CEDAR RAPIDS
Practice Address - State:IA
Practice Address - Zip Code:52401-2464
Practice Address - Country:US
Practice Address - Phone:319-892-6000
Practice Address - Fax:319-892-6098
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2012-01-05
Last Update Date:2022-06-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251K00000XAgenciesPublic Health or Welfare