Organization
COUNTY OF LUCAS
Active
Other names
Lucas County Public Health
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. MARY E GRISMORE RN (NURSE ADMINISTRATOR)
(641) 774-4312
Entity
Organization
Contact information
Practice address
123 S GRAND ST, BOX 852, CHARITON, IA 50049-1829
(641) 774-4312
(641) 774-0444
Mailing address
PO BOX 852, 123 S GRAND, CHARITON, IA 50049
(641) 774-4312
(641) 774-0444
Taxonomy
Speciality
Code
Description
License number
State
251K00000X
Public Health or Welfare Agency
Primary
054835
IA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0670489
—
IA
Enumeration date
04/28/2006
Last updated
06/19/2012
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