Organization
LYON COUNTY D/B/A HEALTH SERVICES OF LYON COUNTY
Active
Organization
LYON COUNTY D/B/A HEALTH SERVICES OF LYON COUNTY
Active
Other names
Health Services of Lyon County
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. JODY J FOLKENS RN, BSN (ADMINISTRATOR)
(712) 472-8200
Entity
Organization
Contact information
Practice address
315 1ST AVE, SUITE 208, ROCK RAPIDS, IA 51246-1543
(712) 472-4081
(712) 472-4039
Mailing address
315 FIRST AVENUE, SUITE 208, ROCK RAPIDS, IA 51246
(712) 472-8200
(712) 472-4039
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
—
IA
251K00000X
Public Health or Welfare Agency
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0671016
—
IA
01
—
167101
MEDICARE ID
IA
01
—
67101
BLUE CROSS BLUE SHIELD
IA
Enumeration date
08/17/2005
Last updated
01/15/2015
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