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Organization

MITCHELL COUNTY

Active
Other names
Mitchell County Home Health Care and Public Health
Organization subpart
No

Provider details

NPI number
Authorized official
MRS. LAVONNE MICHELLE WOLF RN, BSN (ADMINISTRATOR)
(641) 832-3500
Entity
Organization

Contact information

Practice address
415 PLEASANT ST, SUITE 100, OSAGE, IA 50461-1935
(641) 832-3500
(641) 832-3501
Mailing address
415 PLEASANT ST, SUITE 100, OSAGE, IA 50461-1935
(641) 832-3500
(641) 832-3501

Taxonomy

Speciality
Code
Description
License number
State
251K00000X
Public Health or Welfare Agency
Primary

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
0670422
IA
01
16D0675870
CLIA
IA
01
67042
BLUE CROSS BLUE SHEILD
IA
Enumeration date
09/25/2015
Last updated
09/25/2015
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