Lucas County Health Center
Organization Active NPI Registered Nurse · Chariton, IA
NPI 1487863882 · NPPES record last updated Dec 16, 2020
Key facts
- NPI
- 1487863882
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Registered Nurse 163W00000X
- Legal business name
- LUCAS COUNTY HEALTH CENTER
- Practice address
- 1200 N 7TH St
Chariton, IA 50049-1210 - Phone
- (641) 774-3000
- NPI assigned
- May 22, 2007
- Organization subpart
- No
Authorized official
- Name
- Lori Johnson
- Title
- Chief Operations Officer
- Phone
- (641) 774-3360
Corporate family (same tax ID) 9
Practitioners 3
-
Eric Jason Barrett, CRNA
-
Mark Christopher Boswell, CRNA
-
Amanda E McKinley, CRNA
National Provider Directory
- Tax ID family
- Lucas County Health Center
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Registered Nurse |
163W00000X | Yes |
Addresses
Primary practice location
1200 N 7TH St
Chariton, IA 50049-1210
Mailing address
1200 N 7TH St
Chariton, IA 50049-1210
Phone (641) 774-3000
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0289835 | Medicaid | IA |
Other names
- CRNA GROUP
Other providers in Chariton, IA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Dec 16, 2020. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.