# COUNTY OF BLACK HAWK

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Black Hawk County Health Department
- **Organization subpart:** No

## Provider details

- **NPI number:** 1891194353
- **Authorized official:** DR. NAFISSA CISSE EGBUONYE (DIRECTOR)
- **Authorized official phone:** (319) 291-2413

## Contact information

- **Practice address:** 1407 INDEPENDENCE AVE FL 5, WATERLOO, IA 50703-4396
- **Practice address phone:** (319) 291-2413
- **Practice address fax:** (319) 291-2418
- **Mailing address:** 1407 INDEPENDENCE AVE FL 5, WATERLOO, IA 50703-4396
- **Mailing address phone:** (319) 291-2413
- **Mailing address fax:** (319) 291-2418

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 251K00000X | Public Health or Welfare Agency | — | IA | Yes |
| 363L00000X | Nurse Practitioner | — | NULL | — |
| 363L00000X | Nurse Practitioner | — | — | — |

## Other

- **Enumeration date:** 08/20/2014
- **Last updated:** 02/05/2019