Provider Demographics
NPI:1861549842
Name:COUNTY OF JONES
Entity type:Organization
Organization Name:COUNTY OF JONES
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:MANAGER
Authorized Official - Prefix:MRS
Authorized Official - First Name:JAMIE
Authorized Official - Middle Name:L
Authorized Official - Last Name:GINTER
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:319-465-6564
Mailing Address - Street 1:814 JOHN DR
Mailing Address - Street 2:
Mailing Address - City:MONTICELLO
Mailing Address - State:IA
Mailing Address - Zip Code:52310-9410
Mailing Address - Country:US
Mailing Address - Phone:319-465-6564
Mailing Address - Fax:319-462-5815
Practice Address - Street 1:814 JOHN DR
Practice Address - Street 2:
Practice Address - City:MONTICELLO
Practice Address - State:IA
Practice Address - Zip Code:52310-9410
Practice Address - Country:US
Practice Address - Phone:319-465-6564
Practice Address - Fax:319-462-5815
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:COUNTY OF JONES
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2007-01-04
Last Update Date:2023-08-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IAIA04631347B00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes347B00000XTransportation ServicesBus
Provider Identifiers
StateIdentifier IDID TypeIssuer
IA1139980Medicaid