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Organization

COUNTY OF WINNEBAGO

Active
Other names
Winnebago County Public Health
Organization subpart
No

Provider details

NPI number
Authorized official
JULIE SORENSON (ADMINISTRATOR)
(641) 585-4763
Entity
Organization

Contact information

Practice address
216 SOUTH 4TH STREET, FOREST CITY, IA 50436
(641) 585-4763
(641) 585-1788
Mailing address
216 SOUTH 4TH STREET, FOREST CITY, IA 50436
(641) 585-4763
(641) 585-1788

Taxonomy

Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
251K00000X
Public Health or Welfare Agency
251E00000X
IA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
0670356
IA
01
67035
BLUE CROSS/BLUE SHIELD
IA
Enumeration date
05/20/2006
Last updated
06/19/2019
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