County of Obrien

Primary specialty

Public Health or Welfare AgencyTaxonomy code 251K00000X

License

A128751 Issued in IA

Legal business name

COUNTY OF OBRIEN

Practice address

155 S Hayes Avenue
Primghar, IA 51245

Phone

(712) 957-0105

Fax

(712) 957-0105

NPI assigned

Jun 21, 2005

Reactivated

Aug 1, 2007

Last updated

Aug 15, 2013By 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

Ms. Lisa Louise Youngers, RN, BSN

Title

Nurse Adminstrator

Phone

(712) 957-0105

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in IA

Enrollment records 1

Tax ID family

O'Brien County General Relief2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• O'Brien County General Relief

  • Case Management Agency
  • Primghar, IA
  • NPI 1275728966
  NPD tax ID

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

{
    "created_epoch": "1119312000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1376524800000",
    "number": "1235135666",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 525",
            "city": "PRIMGHAR",
            "state": "IA",
            "postal_code": "51245",
            "telephone_number": "712-957-0105",
            "fax_number": "712-957-0105"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "155 S HAYES AVENUE",
            "city": "PRIMGHAR",
            "state": "IA",
            "postal_code": "51245",
            "telephone_number": "712-957-0105",
            "fax_number": "712-957-0105"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COUNTY OF OBRIEN",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-06-21",
        "last_updated": "2013-08-15",
        "deactivation_date": "2007-07-17",
        "reactivation_date": "2007-08-01",
        "status": "A",
        "authorized_official_last_name": "YOUNGERS",
        "authorized_official_first_name": "LISA",
        "authorized_official_middle_name": "LOUISE",
        "authorized_official_title_or_position": "NURSE ADMINSTRATOR",
        "authorized_official_telephone_number": "712-957-0105",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "RN, BSN"
    },
    "taxonomies": [
        {
            "code": "251K00000X",
            "taxonomy_group": "",
            "desc": "Public Health or Welfare",
            "state": "IA",
            "license": "A128751",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Baum Harmon Mercy Hospital (MercyOne Primghar Medical Center-Swing Bed)
• Baum Harmon Mercy Hospital
• Baum Harmon Mercy Hospital (MercyOne Primghar Medical Center)
• Baum Harmon Mercy Hospital (MercyOne Primghar Medical Center-CVA)
• Julie M Beehler, ARNP
• Andrea D Crew, PA
• Shailesh Dhirubhai Desai, MD
• Heather Jo Einck, DC
• Embrace Therapy Services LLC
• Family First Dental Associates of Primghar, P.C. (Family 1st Dental of Primghar)

• Public Health or Welfare Agency in Primghar, IA
• Providers in Primghar, IA by specialty
• Public Health or Welfare Agency in Iowa

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 15, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.