Provider Demographics
NPI:1932194107
Name:COUNTY OF WASHINGTON
Entity Type:Organization
Organization Name:COUNTY OF WASHINGTON
Other - Org Name:WASHINGTON COUNTY PUBLIC HEALTH AND HOME CARE
Other - Org Type:Doing Business As
Authorized Official - Title/Position:ADMINISTRATOR
Authorized Official - Prefix:
Authorized Official - First Name:EDIE
Authorized Official - Middle Name:
Authorized Official - Last Name:NEBEL
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:319-653-7758
Mailing Address - Street 1:110 N IOWA AVE
Mailing Address - Street 2:SUITE 300
Mailing Address - City:WASHINGTON
Mailing Address - State:IA
Mailing Address - Zip Code:52353-2037
Mailing Address - Country:US
Mailing Address - Phone:319-653-7758
Mailing Address - Fax:319-653-6870
Practice Address - Street 1:110 N IOWA AVE
Practice Address - Street 2:SUITE 300
Practice Address - City:WASHINGTON
Practice Address - State:IA
Practice Address - Zip Code:52353-2037
Practice Address - Country:US
Practice Address - Phone:319-653-7758
Practice Address - Fax:319-653-6870
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2005-09-14
Last Update Date:2012-02-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
IA0671099Medicaid
IA67109OtherHOME HEALTH AGENCY
IA67109OtherHOME HEALTH AGENCY