Provider Demographics
NPI:1184798761
Name:COUNTY OF IOWA
Entity type:Organization
Organization Name:COUNTY OF IOWA
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:NURSING HOME ADMINISTRATOR
Authorized Official - Prefix:MS
Authorized Official - First Name:BARBARA
Authorized Official - Middle Name:B
Authorized Official - Last Name:LINSCHEID
Authorized Official - Suffix:
Authorized Official - Credentials:NHA
Authorized Official - Phone:608-935-3321
Mailing Address - Street 1:222 N IOWA ST
Mailing Address - Street 2:
Mailing Address - City:DODGEVILLE
Mailing Address - State:WI
Mailing Address - Zip Code:53533-1540
Mailing Address - Country:US
Mailing Address - Phone:608-935-0397
Mailing Address - Fax:608-935-6024
Practice Address - Street 1:3151 COUNTY ROAD CH
Practice Address - Street 2:
Practice Address - City:DODGEVILLE
Practice Address - State:WI
Practice Address - Zip Code:53533-9108
Practice Address - Country:US
Practice Address - Phone:608-935-3321
Practice Address - Fax:608-935-3962
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:COUNTY OF IOWA
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2006-11-17
Last Update Date:2010-10-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WI2364314000000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes314000000XNursing & Custodial Care FacilitiesSkilled Nursing Facility
Provider Identifiers
StateIdentifier IDID TypeIssuer
WI20153600Medicaid
WI525474Medicare ID - Type Unspecified