Organization
A-1 HOME HEALTHCARE SERVICE CO
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ROSE C LIND (PRESIDENT)
(515) 955-1654
Entity
Organization
Contact information
Practice address
118 S 25TH ST, FORT DODGE, IA 50501-4312
(515) 955-8500
(515) 576-0243
Mailing address
118 S 25TH ST, P O BOX 1037, FORT DODGE, IA 50501-4312
(515) 955-8500
(515) 576-0243
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
5855
IA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0128447
—
IA
05
—
0128462
—
IA
01
—
15979
BLUE CROSS PROVIDER NUMBE
IA
Enumeration date
06/22/2006
Last updated
08/22/2020
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