Organization
BOONE COUNTY HOSPITAL
Active
Parent organization
BOONE COUNTY HOSPITAL
Other names
Home Care Services of Boone County Hospital
Organization subpart
Yes
Provider details
NPI number
Legal business name
BOONE COUNTY HOSPITAL
Authorized official
MIKAELA KIENITZ (CEO)
(515) 432-3140
Entity
Organization
Contact information
Practice address
105 S MARSHALL ST, BOONE, IA 50036-4899
(515) 432-1127
(515) 432-0706
Mailing address
105 S MARSHALL ST, BOONE, IA 50036-4899
(515) 432-1127
(515) 432-0706
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
—
IA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0062307
—
IA
05
—
0670349
—
IA
01
—
25749
IOWA HEALTH SOLUTIONS PRO
IA
01
—
67034
BLUE CROSS PROVIDER NUMBE
IA
01
—
708282
BLACK LUNG PROVIDER NUMBE
IA
Enumeration date
06/21/2005
Last updated
10/10/2023
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