Organization
CLARKE COUNTY
Active
Parent organization
CLARKE COUNTY
Other names
Clarke County Public Health
Organization subpart
Yes
Provider details
NPI number
Legal business name
CLARKE COUNTY
Authorized official
NICOLE JIMMERSON RN (ADMINISTRATOR)
(641) 342-3724
Entity
Organization
Contact information
Practice address
109 S MAIN ST., OSCEOLA, IA 50213
(641) 342-3724
(641) 342-2603
Mailing address
109 S MAIN ST., OSCEOLA, IA 50213
(641) 342-3724
(641) 342-2603
Taxonomy
Speciality
Code
Description
License number
State
163WC1500X
Community Health Registered Nurse
Primary
—
—
251E00000X
Home Health Agency
—
IA
251K00000X
Public Health or Welfare Agency
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0600020
—
IA
05
—
0671255
—
IA
01
—
67125
BLUE CROSS BLUE SHIELD
IA
Enumeration date
03/14/2014
Last updated
03/15/2023
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