Organization
HUMBOLDT COUNTY MEMORIAL HOSPITAL
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. MICHELLE FEASTER LBSW (ADMINISTRATOR)
(515) 332-2492
Entity
Organization
Contact information
Practice address
1012 15TH ST N, HUMBOLDT, IA 50548-1008
(515) 332-2492
(515) 332-4756
Mailing address
1012 15TH ST N, HUMBOLDT, IA 50548-1008
(515) 332-2492
(515) 332-4756
Taxonomy
Speciality
Code
Description
License number
State
251B00000X
Case Management Agency
—
—
251E00000X
Home Health Agency
Primary
—
IA
251K00000X
Public Health or Welfare Agency
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0103258
—
IA
05
—
0671032
—
IA
01
—
67103
BCBS HOME HEALTH
IA
Enumeration date
01/06/2006
Last updated
12/28/2010
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