Active NPI
Clarke County
Doing business as Clarke County Public Health
- Community Health Registered Nurse
- Osceola, IA
National Provider Identifier
1073939088
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Community Health Registered Nurse
- Legal business name
- CLARKE COUNTY
- Doing business as
- Clarke County Public Health
- Practice address
- 109 S Main St.
Osceola, IA 50213 - Phone
- (641) 342-3724
- Fax
- (641) 342-2603
- NPI assigned
- Mar 14, 2014
- Last updated
- Mar 15, 2023
- Organization subpart
- Yes
- Parent organization
- CLARKE COUNTY
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Nicole Jimmerson, RN
- Title
- Administrator
- Phone
- (641) 342-3724
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Home Health Agency | 251E00000X | IA | ||
| Public Health or Welfare Agency | 251K00000X | |||
| Community Health Registered Nurse | 163WC1500X | Primary |
Addresses
Primary practice location
109 S Main St.
Osceola, IA 50213
Mailing address
109 S Main St.
Osceola, IA 50213
Phone (641) 342-3724
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 67125 | Other | IA | BLUE CROSS BLUE SHIELD |
| 0600020 | Medicaid | IA | |
| 0671255 | Medicaid | IA |
Other names 1
- Clarke County Public Health
National Provider Directory
National Provider Directory- Part of
- Clarke County
Locations
109 S Main St
Osceola, IA 50213
Phone (641) 342-3724
Ownership & related parties
Parent organization (reported in NPPES) 1
This organization reports itself as a subpart in NPPES; the parent’s legal name matches this organization in the same state.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1394755200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1678838400000",
"number": "1073939088",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "109 S MAIN ST.",
"city": "OSCEOLA",
"state": "IA",
"postal_code": "50213",
"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": "109 S MAIN ST.",
"city": "OSCEOLA",
"state": "IA",
"postal_code": "50213",
"telephone_number": "641-342-3724",
"fax_number": "641-342-2603"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "CLARKE COUNTY",
"organizational_subpart": "YES",
"parent_organization_legal_business_name": "CLARKE COUNTY",
"enumeration_date": "2014-03-14",
"last_updated": "2023-03-15",
"certification_date": "2023-03-15",
"status": "A",
"authorized_official_last_name": "JIMMERSON",
"authorized_official_first_name": "NICOLE",
"authorized_official_title_or_position": "ADMINISTRATOR",
"authorized_official_telephone_number": "641-342-3724",
"authorized_official_credential": "RN"
},
"taxonomies": [
{
"code": "251E00000X",
"taxonomy_group": "",
"desc": "Home Health",
"state": "IA",
"license": null,
"primary": false
},
{
"code": "251K00000X",
"taxonomy_group": "",
"desc": "Public Health or Welfare",
"state": null,
"license": null,
"primary": false
},
{
"code": "163WC1500X",
"taxonomy_group": "",
"desc": "Registered Nurse, Community Health",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CROSS BLUE SHIELD",
"identifier": "67125",
"state": "IA"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "0600020",
"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"
},
{
"organization_name": "Clarke County Public Health",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Osceola, IA
- City of Osceola (Osceola Volunteer Fire Department)
- Jennifer Laura Clark, ARNP FNP-C
- Clarke C.S.D.
- Clarke Community School District
- Clarke County (Clarke County Public Health)
- Clarke County Chiropractic, LLC
- Clarke County Homemakers
- Clarke County Public Hospital (Clarke County Hospital)
- Clarke County Public Hospital
- Clarke County Public Hospital
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 15, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.