Active NPI
Clarke County
- Home Health Agency
- Osceola, IA
National Provider Identifier
1023084548
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Home Health Agency
- Legal business name
- CLARKE COUNTY
- Practice address
- 134 W Jefferson St
Osceola, IA 50213-1286 - Phone
- (641) 342-3724
- Fax
- (641) 342-2603
- NPI assigned
- Feb 24, 2006
- 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
- Sandra K. Eddy, RN
- Title
- Nurse Administrator
- Phone
- (641) 342-3724
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Home Health Agency | 251E00000X | Primary |
Addresses
Primary practice location
134 W Jefferson St
Osceola, IA 50213-1286
Mailing address
134 W Jefferson St
Osceola, IA 50213-1286
Phone (641) 342-3724
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| F246189 | Other | IA | MIDLANDS CHOICE |
| 67125 | Other | IA | BLUE SHIELD |
| 0671255 | Medicaid | IA |
Other names 1
- Clarke County Public Health
National Provider Directory
National Provider DirectoryLocations
134 W Jefferson St
Osceola, IA 50213
Phone (641) 324-6378
Ownership & related parties
Subparts reporting this organization as parent 1
Organizations that report themselves as subparts in NPPES and name this organization, in the same state, as their parent.
-
- Community Health Registered Nurse
- Osceola, IA
- NPI 1073939088
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1140739200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1334880000000",
"number": "1023084548",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "134 W JEFFERSON ST",
"city": "OSCEOLA",
"state": "IA",
"postal_code": "502131286",
"telephone_number": "641-342-3724",
"fax_number": "641-342-2603"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "134 W JEFFERSON ST",
"city": "OSCEOLA",
"state": "IA",
"postal_code": "502131286",
"telephone_number": "641-342-3724",
"fax_number": "641-342-2603"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "CLARKE COUNTY",
"organizational_subpart": "NO",
"enumeration_date": "2006-02-24",
"last_updated": "2012-04-20",
"status": "A",
"authorized_official_last_name": "EDDY",
"authorized_official_first_name": "SANDRA",
"authorized_official_middle_name": "K.",
"authorized_official_title_or_position": "NURSE ADMINISTRATOR",
"authorized_official_telephone_number": "641-342-3724",
"authorized_official_credential": "RN"
},
"taxonomies": [
{
"code": "251E00000X",
"taxonomy_group": "",
"desc": "Home Health",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MIDLANDS CHOICE",
"identifier": "F246189",
"state": "IA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE SHIELD",
"identifier": "67125",
"state": "IA"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "0671255",
"state": "IA"
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "Clarke County Public Health",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Osceola, IA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 20, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.