Organization Name: | COUNTY OF WARREN |
NPI Number: | 1922461086 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | JODENE DEVAULT (ADMINISTRATOR) |
Mailing Address: | 301 N Buxton St Ste 203 Indianola |
State: | IA US |
Postal Code: | 501251801 |
Phone Number: | 5159611074 |
Fax Number: | 5159611083 |
NPI Enumeration Date: | 04/05/2016 |
NPI Last Update Date: | 04/05/2016 |
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: |