Organization Name: | COUNTY OF WORTH |
NPI Number: | 1629497318 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | TERESA JOHNSON (AGENCY DIRECTOR) |
Mailing Address: | 95 9th St N Northwood |
State: | IA US |
Postal Code: | 504591436 |
Phone Number: | 6413241741 |
Fax Number: | 6413242195 |
NPI Enumeration Date: | 04/10/2014 |
NPI Last Update Date: | 05/13/2014 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 251K00000X |
License Number: | |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | IA |
Taxonomy Type: | Agencies |
Taxonomy Classification: | Public Health or Welfare |
Taxonomy Specialization: | |
Taxonomy Definition: |