Wilkinson-Johnston, Inc.

Primary specialty

Custodial Care FacilityTaxonomy code 311Z00000X

Legal business name

WILKINSON-JOHNSTON, INC.

Doing business as

Country Haven

Practice address

2168 US Hwy. 34
Corning, IA 50841

Phone

(641) 322-3291

Fax

(641) 322-3600

NPI assigned

Nov 1, 2006

Last updated

Jun 23, 2008By the provider in NPPES

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Mrs. Lizbeth Wilkinson

Title

President/Administrator

Phone

(641) 322-3291

Specialties & licenses 1

Addresses

Other identifiers 3

Other names 1

• Country Haven Doing business as

Locations

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1162339200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1214179200000",
    "number": "1073690822",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2168 US HWY. 34",
            "address_2": "PO BOX 409",
            "city": "CORNING",
            "state": "IA",
            "postal_code": "50841",
            "telephone_number": "641-322-3291",
            "fax_number": "641-322-3600"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2168 US HWY. 34",
            "city": "CORNING",
            "state": "IA",
            "postal_code": "50841",
            "telephone_number": "641-322-3291",
            "fax_number": "641-322-3600"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WILKINSON-JOHNSTON, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-01",
        "last_updated": "2008-06-23",
        "status": "A",
        "authorized_official_last_name": "WILKINSON",
        "authorized_official_first_name": "LIZBETH",
        "authorized_official_title_or_position": "PRESIDENT/ADMINISTRATOR",
        "authorized_official_telephone_number": "641-322-3291",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "311Z00000X",
            "taxonomy_group": "",
            "desc": "Custodial Care Facility",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0234443",
            "state": "IA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0450874",
            "state": "IA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0896415",
            "state": "IA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Country Haven",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Allison Marie Wetzel, PA-C
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• Tabitha Sue Wilson
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• Custodial Care Facility in Corning, IA
• Providers in Corning, IA by specialty
• Custodial Care Facility in Iowa

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 23, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.