| Organization Name: | KEOKUK COUNTY HEALTH CENTER |
| NPI Number: | 1073898649 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | MATT IVES (CFO) |
| Mailing Address: | 23019 Highway 149 Sigourney |
| State: | IA US |
| Postal Code: | 525918341 |
| Phone Number: | 6416222720 |
| Fax Number: | 6416221187 |
| NPI Enumeration Date: | 10/14/2011 |
| NPI Last Update Date: | 02/12/2016 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 261QP2300X |
| License Number: | 540100H |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | IA |
| Taxonomy Type: | Ambulatory Health Care Facilities |
| Taxonomy Classification: | Clinic/Center |
| Taxonomy Specialization: | Primary Care |
| Taxonomy Definition: | |