Provider Demographics
NPI:1902066046
Name:COUNTY OF CALHOUN COUNTY AUDITOR
Entity Type:Organization
Organization Name:COUNTY OF CALHOUN COUNTY AUDITOR
Other - Org Name:CALHOUN CO DEPT OF HEALTH
Other - Org Type:Doing Business As
Authorized Official - Title/Position:ADMINISTRATOR
Authorized Official - Prefix:
Authorized Official - First Name:JANE
Authorized Official - Middle Name:E
Authorized Official - Last Name:CONDON
Authorized Official - Suffix:
Authorized Official - Credentials:NURSE
Authorized Official - Phone:712-297-8323
Mailing Address - Street 1:501 COURT ST
Mailing Address - Street 2:
Mailing Address - City:ROCKWELL CITY
Mailing Address - State:IA
Mailing Address - Zip Code:50579-1417
Mailing Address - Country:US
Mailing Address - Phone:712-297-8323
Mailing Address - Fax:712-297-7530
Practice Address - Street 1:501 COURT ST
Practice Address - Street 2:
Practice Address - City:ROCKWELL CITY
Practice Address - State:IA
Practice Address - Zip Code:50579-1417
Practice Address - Country:US
Practice Address - Phone:712-297-8323
Practice Address - Fax:712-297-7530
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-06-12
Last Update Date:2008-06-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251G00000XAgenciesHospice Care, Community Based
Provider Identifiers
StateIdentifier IDID TypeIssuer
IA0615401Medicaid
IA67114OtherWELLMARK BC/BS
IA67114OtherWELLMARK BC/BS