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Organization

COUNTY OF CHICKASAW

Active
Organization subpart
No

Provider details

NPI number
Authorized official
KATHY BABCOCK (ADMINISTRATOR)
(641) 394-4053
Entity
Organization

Contact information

Practice address
260 E PROSPECT ST, NEW HAMPTON, IA 50659-1429
(641) 394-4053
(641) 394-5814
Mailing address
260 E PROSPECT ST, PO BOX 355, NEW HAMPTON, IA 50659-1429
(641) 394-4053
(641) 394-5814

Taxonomy

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

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
0670760
IA
01
67076
BLUE CROSS BLUE SHEILD
IA
Enumeration date
10/20/2006
Last updated
04/08/2010
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