Provider Demographics
NPI:1831162080
Name:MONROE COUNTY IOWA
Entity type:Organization
Organization Name:MONROE COUNTY IOWA
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:NURSE ADMINISTRATOR
Authorized Official - Prefix:MRS
Authorized Official - First Name:KIM
Authorized Official - Middle Name:
Authorized Official - Last Name:HUGEN
Authorized Official - Suffix:
Authorized Official - Credentials:RN
Authorized Official - Phone:641-932-7191
Mailing Address - Street 1:1801 S B STREET
Mailing Address - Street 2:
Mailing Address - City:ALBIA
Mailing Address - State:IA
Mailing Address - Zip Code:52531-2689
Mailing Address - Country:US
Mailing Address - Phone:641-932-7191
Mailing Address - Fax:641-932-5075
Practice Address - Street 1:1801 S B STREET
Practice Address - Street 2:
Practice Address - City:ALBIA
Practice Address - State:IA
Practice Address - Zip Code:52531-2689
Practice Address - Country:US
Practice Address - Phone:641-932-7191
Practice Address - Fax:641-932-5075
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-02-08
Last Update Date:2022-12-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
251E00000X
IA251E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
IA67028OtherWELLMARK BC BC
IA0670281Medicaid
IA67028OtherWELLMARK BC BC