Organization
THE VISITING NURSE ASSOCIATION OF POTTAWATTAMIE COUNTY, IOWA
Active
Other names
VNA of Pottawattamie County
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. LILLIAN JEPPESEN (EXECUTIVE DIRECTOR)
(712) 328-2636
Entity
Organization
Contact information
Practice address
300 W BROADWAY, SUITE 10, COUNCIL BLUFFS, IA 51503-9045
(712) 328-2636
(712) 328-0839
Mailing address
300 W BROADWAY, SUITE 10, COUNCIL BLUFFS, IA 51503-9045
(712) 328-2636
(712) 328-0839
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0051433
MEDICAID ENHANCED
IA
01
—
0088831
MEDICAID EPSDT
IA
05
—
0670018
—
IA
01
—
6000006
UNITED HEALTH CARE
IA
01
—
67001
BLUE CROSS BLUE SHIELD
IA
01
—
87146
COVENTRY
IA
01
—
F680
MIDLANDS CHOICE
IA
Enumeration date
07/25/2006
Last updated
08/22/2020
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