Organization
ADLM COUNTIES ENVIRONMENTAL PUBLIC HEALTH
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CONNIE R FOSTER (OFFICE MANAGER)
(641) 724-3511
Entity
Organization
Contact information
Practice address
12307 HIGHWAY 5, MORAVIA, IA 52571-8977
(641) 724-3511
(641) 724-3513
Mailing address
12307 HIGHWAY 5, P.O. BOX 399, MORAVIA, IA 52571-8977
(641) 724-3511
(641) 724-3513
Taxonomy
Speciality
Code
Description
License number
State
251K00000X
Public Health or Welfare Agency
Primary
IA2003FIRM0127
IA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0177535
PIN#
IA
Enumeration date
02/28/2007
Last updated
03/05/2008
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