Organization
COUNTY OF WINNESHIEK
Active
Other names
Winneshiek County Public Health Nursing Service
Organization subpart
No
Provider details
NPI number
Authorized official
MS. KRISTA VANDEN BRINK R.N., B.A. (ADMINISTRATOR)
(563) 382-4662
Entity
Organization
Contact information
Practice address
305 MONTGOMERY ST, SUITE3, DECORAH, IA 52101-2721
(563) 382-4662
(563) 387-4121
Mailing address
305 MONTGOMERY ST, SUITE3, DECORAH, IA 52101-2721
(563) 382-4662
(563) 387-4121
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0670398
—
IA
01
—
67039
BLUE CROSS/BLUE SHIELD
IA
Enumeration date
12/15/2005
Last updated
05/02/2012
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