County of Lucas

Primary specialty

Public Health or Welfare AgencyTaxonomy code 251K00000X

License

054835 Issued in IA

Legal business name

COUNTY OF LUCAS

Doing business as

Lucas County Public Health

Practice address

123 S Grand St
Box 852
Chariton, IA 50049-1829

Phone

(641) 774-4312

Fax

(641) 774-0444

NPI assigned

Apr 28, 2006

Last updated

Jun 19, 2012By 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. Mary E Grismore, RN

Title

Nurse Administrator

Phone

(641) 774-4312

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Lucas County Public Health Doing business as

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Locations

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

{
    "created_epoch": "1146182400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1340064000000",
    "number": "1487611943",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 852",
            "address_2": "123 S GRAND",
            "city": "CHARITON",
            "state": "IA",
            "postal_code": "50049",
            "telephone_number": "641-774-4312",
            "fax_number": "641-774-0444"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "123 S GRAND ST",
            "address_2": "BOX 852",
            "city": "CHARITON",
            "state": "IA",
            "postal_code": "500491829",
            "telephone_number": "641-774-4312",
            "fax_number": "641-774-0444"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COUNTY OF LUCAS",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-04-28",
        "last_updated": "2012-06-19",
        "status": "A",
        "authorized_official_last_name": "GRISMORE",
        "authorized_official_first_name": "MARY",
        "authorized_official_middle_name": "E",
        "authorized_official_title_or_position": "NURSE ADMINISTRATOR",
        "authorized_official_telephone_number": "641-774-4312",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "RN"
    },
    "taxonomies": [
        {
            "code": "251K00000X",
            "taxonomy_group": "",
            "desc": "Public Health or Welfare",
            "state": "IA",
            "license": "054835",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0670489",
            "state": "IA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Lucas County Public Health",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Chariton Group Home Develop Corp
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• Greg D Cohen, D.O.
• Paige Davis, TLMHC
• Megan Lee Decker, FNP-BC
• Anastacia Faith-Marie Doering, R.D., L.D.
• Juanita Louise Durham, A.R.N.P.
• Elara Caring PCS Ia 1, LLC (Elara Caring)

• Public Health or Welfare Agency in Chariton, IA
• Providers in Chariton, 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 Jun 19, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.