Organization Name: | COUNTY OF LUCAS |
NPI Number: | 1487611943 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | MARY E GRISMORE (NURSE ADMINISTRATOR) |
Mailing Address: | 123 S Grand St Box 852 Chariton |
State: | IA US |
Postal Code: | 500491829 |
Phone Number: | 6417744312 |
Fax Number: | 6417740444 |
NPI Enumeration Date: | 04/28/2006 |
NPI Last Update Date: | 06/19/2012 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 251K00000X |
License Number: | 054835 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | IA |
Taxonomy Type: | Agencies |
Taxonomy Classification: | Public Health or Welfare |
Taxonomy Specialization: | |
Taxonomy Definition: |