Organization
MITCHELL COUNTY
Active
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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