Organization Name: | MITCHELL COUNTY |
NPI Number: | 1003286683 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | LAVONNE MICHELLE WOLF (ADMINISTRATOR) |
Mailing Address: | 415 Pleasant St Suite 100 Osage |
State: | IA US |
Postal Code: | 504611935 |
Phone Number: | 6418323500 |
Fax Number: | 6418323501 |
NPI Enumeration Date: | 09/25/2015 |
NPI Last Update Date: | 09/25/2015 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 251K00000X |
License Number: | |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | |
Taxonomy Type: | Agencies |
Taxonomy Classification: | Public Health or Welfare |
Taxonomy Specialization: | |
Taxonomy Definition: |