Organization Active NPI

County of Floyd

Doing business as Floyd County Public Health/Home Health Care

  • Public Health or Welfare Agency
  • Charles City, IA
National Provider Identifier
1487098471
Registry record updated Sep 24, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Public Health or Welfare AgencyTaxonomy code 251K00000X
Legal business name
COUNTY OF FLOYD
Doing business as
Floyd County Public Health/Home Health Care
Practice address
1003 Gilbert St
Charles City, IA 50616-2637
Phone
(641) 257-6111
Fax
(641) 257-6146
NPI assigned
Apr 22, 2013
Last updated
Sep 24, 2014By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 24, 2014

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

Authorized official

Name
Mr. Douglas A. Kamm
Title
Floyd Co. Boad of Supervisor
Phone
(641) 257-6129

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Public Health or Welfare Agency 251K00000X NU Primary

Addresses

Primary practice location

1003 Gilbert St
Charles City, IA 50616-2637

Mailing address

1003 Gilbert St
Charles City, IA 50616-2637
Phone (641) 257-6111

Other identifiers 1

IdentifierTypeStateIssuer
0671602MedicaidIA

Other names 1

  • Floyd County Public Health/Home Health Care Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20140930002711 IA Part B Supplier - Mass Immunization (Roster Biller Only) 9335057652 Practice locations: Charles City, IA

Other NPIs with the same Medicare PAC ID 1

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

National Provider Directory

National Provider Directory
Tax ID family
County of Floyd3 organizations share this tax ID, including this one

Other organizations with this tax ID 2

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

Member organizations 6

Organizations listed as members of this organization in the National Provider Directory.

Locations

101 S Main St
Ste 105
Charles City, IA 50616
Phone (641) 257-6111

Ownership & related parties

All facility ownership & control disclosures 1

Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.

FacilityTypeRoleSince
Floyd County Public Health/Home Health CareCharles City, IA, CCN 167051 Home health agency 5% Or Greater Direct Ownership Interest (100%)
Operational/Managerial Control
Jul 1, 2005
Jul 1, 2005

Owned or controlled facilities with NPI records 1

Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.

NPI Registry JSON

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

{
    "created_epoch": "1366588800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1411516800000",
    "number": "1487098471",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1003 GILBERT ST",
            "city": "CHARLES CITY",
            "state": "IA",
            "postal_code": "506162637",
            "telephone_number": "641-257-6111",
            "fax_number": "641-257-6146"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1003 GILBERT ST",
            "city": "CHARLES CITY",
            "state": "IA",
            "postal_code": "506162637",
            "telephone_number": "641-257-6111",
            "fax_number": "641-257-6146"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COUNTY OF FLOYD",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-04-22",
        "last_updated": "2014-09-24",
        "status": "A",
        "authorized_official_last_name": "KAMM",
        "authorized_official_first_name": "DOUGLAS",
        "authorized_official_middle_name": "A.",
        "authorized_official_title_or_position": "FLOYD CO. BOAD OF SUPERVISOR",
        "authorized_official_telephone_number": "641-257-6129",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "251K00000X",
            "taxonomy_group": "",
            "desc": "Public Health or Welfare",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0671602",
            "state": "IA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Floyd County Public Health/Home Health Care",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Charles City, IA

Sources for this page

Verify at the official NPI Registry.