Provider Demographics
NPI:1730261058
Name:CITY OF CORRECTIONVILLE
Entity type:Organization
Organization Name:CITY OF CORRECTIONVILLE
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CITY CLERK
Authorized Official - Prefix:
Authorized Official - First Name:BARBARA
Authorized Official - Middle Name:
Authorized Official - Last Name:JOY
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:712-372-4791
Mailing Address - Street 1:PO BOX 46
Mailing Address - Street 2:
Mailing Address - City:CORRECTIONVILLE
Mailing Address - State:IA
Mailing Address - Zip Code:51016
Mailing Address - Country:US
Mailing Address - Phone:712-372-4791
Mailing Address - Fax:712-372-4489
Practice Address - Street 1:312 DRIFTWOOD STREET
Practice Address - Street 2:
Practice Address - City:CORRECTIONVILLE
Practice Address - State:IA
Practice Address - Zip Code:51016
Practice Address - Country:US
Practice Address - Phone:712-372-4791
Practice Address - Fax:712-372-4489
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-10-19
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3416L0300XTransportation ServicesAmbulanceLand Transport
Provider Identifiers
StateIdentifier IDID TypeIssuer
NE10025228000Medicaid
IA0068387Medicaid
IA0068387Medicaid