Active NPI
Mitchell County
- Public Health or Welfare Agency
- Osage, IA
National Provider Identifier
1003286683
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Public Health or Welfare Agency
- Legal business name
- MITCHELL COUNTY
- Practice address
- 415 Pleasant St
Suite 100
Osage, IA 50461-1935 - Phone
- (641) 832-3500
- Fax
- (641) 832-3501
- NPI assigned
- Sep 25, 2015
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mrs. Lavonne Michelle Wolf, RN, BSN
- Title
- Administrator
- Phone
- (641) 832-3500
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Public Health or Welfare Agency | 251K00000X | Primary |
Addresses
Primary practice location
415 Pleasant St
Suite 100
Osage, IA 50461-1935
Mailing address
415 Pleasant St
Suite 100
Osage, IA 50461-1935
Phone (641) 832-3500
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0670422 | Medicaid | IA | |
| 67042 | Other | IA | BLUE CROSS BLUE SHEILD |
| 16D0675870 | Other | IA | CLIA |
Other names 1
- Mitchell County Home Health Care and Public Health
National Provider Directory
National Provider Directory- Tax ID family
- Mitchell County
Other organizations with this tax ID 1
Organizations that report the same tax identification number in the National Provider Directory.
-
- Home Health Agency
- Osage, IA
- NPI 1952398810
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1443139200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1443139200000",
"number": "1003286683",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "415 PLEASANT ST",
"address_2": "SUITE 100",
"city": "OSAGE",
"state": "IA",
"postal_code": "504611935",
"telephone_number": "641-832-3500",
"fax_number": "641-832-3501"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "415 PLEASANT ST",
"address_2": "SUITE 100",
"city": "OSAGE",
"state": "IA",
"postal_code": "504611935",
"telephone_number": "641-832-3500",
"fax_number": "641-832-3501"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "MITCHELL COUNTY",
"organizational_subpart": "NO",
"enumeration_date": "2015-09-25",
"last_updated": "2015-09-25",
"status": "A",
"authorized_official_last_name": "WOLF",
"authorized_official_first_name": "LAVONNE",
"authorized_official_middle_name": "MICHELLE",
"authorized_official_title_or_position": "ADMINISTRATOR",
"authorized_official_telephone_number": "641-832-3500",
"authorized_official_name_prefix": "Mrs.",
"authorized_official_credential": "RN, BSN"
},
"taxonomies": [
{
"code": "251K00000X",
"taxonomy_group": "",
"desc": "Public Health or Welfare",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "0670422",
"state": "IA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CROSS BLUE SHEILD",
"identifier": "67042",
"state": "IA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CLIA",
"identifier": "16D0675870",
"state": "IA"
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "Mitchell County Home Health Care and Public Health",
"code": "3",
"type": "Doing Business As"
}
]
}Other providers in Osage, IA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 25, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.