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Organization

COUNTY OF CHEROKEE

Active
Other names
Cherokee County Community Health and Home Care
Organization subpart
No

Provider details

NPI number
Authorized official
MRS. KIM RUPP RN, BSN (NURSE ADMINISTRATOR)
(712) 225-6718
Entity
Organization

Contact information

Practice address
520 W MAIN ST, BOX B, CHEROKEE, IA 51012-1700
(712) 225-6718
(712) 225-6710
Mailing address
520 W MAIN ST, BOX B, CHEROKEE, IA 51012-1700
(712) 225-6718
(712) 225-6710

Taxonomy

Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
0670729
IA
01
67072
BLUE CROSS-BLUE SHIELD
IA
Enumeration date
11/18/2005
Last updated
08/22/2020
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