Provider Demographics
NPI:1801879440
Name:COUNTY OF FLOYD
Entity type:Organization
Organization Name:COUNTY OF FLOYD
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:FLOYD CO BOARD OF SUPR
Authorized Official - Prefix:MR
Authorized Official - First Name:DOUGLAS
Authorized Official - Middle Name:A
Authorized Official - Last Name:KAMM
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:641-257-6129
Mailing Address - Street 1:1003 GILBERT ST
Mailing Address - Street 2:
Mailing Address - City:CHARLES CITY
Mailing Address - State:IA
Mailing Address - Zip Code:50616-2637
Mailing Address - Country:US
Mailing Address - Phone:641-257-6111
Mailing Address - Fax:641-257-6146
Practice Address - Street 1:1003 GILBERT ST
Practice Address - Street 2:
Practice Address - City:CHARLES CITY
Practice Address - State:IA
Practice Address - Zip Code:50616-2637
Practice Address - Country:US
Practice Address - Phone:641-257-6111
Practice Address - Fax:641-257-6146
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2005-11-29
Last Update Date:2013-04-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
IA0671602Medicaid
IA67051OtherWELLMARK BCBS OF IOWA
IA0671602Medicaid