NPIMap

Organization Active NPI

Winnebago County Public Health

  • Home Infusion Agency
  • Forest City, IA
National Provider Identifier
1770613283
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Infusion AgencyTaxonomy code 251F00000X
License
34690 Issued in IA
Legal business name
WINNEBAGO COUNTY PUBLIC HEALTH
Practice address
216 S 4TH St
Forest City, IA 50436-1802
Phone
(641) 585-4763
NPI assigned
Mar 6, 2007
Last updated
Aug 22, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Mrs. Jayne Susan Shaffer, RNC
Title
Administrator
Phone
(641) 585-4763

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Home Infusion Agency 251F00000X 34690 IA Primary

Addresses

Primary practice location

216 S 4TH St
Forest City, IA 50436-1802

Mailing address

216 S 4TH St
Forest City, IA 50436-1802
Phone (641) 585-4763

National Provider Directory

National Provider Directory
Tax ID family
County of Winnebago5 organizations share this tax ID, including this one

Other organizations with this tax ID 4

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

NPI Registry JSON

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

{
    "created_epoch": "1173139200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1770613283",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "216 S 4TH ST",
            "city": "FOREST CITY",
            "state": "IA",
            "postal_code": "504361802",
            "telephone_number": "641-585-4763"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "216 S 4TH ST",
            "city": "FOREST CITY",
            "state": "IA",
            "postal_code": "504361802",
            "telephone_number": "641-585-4763"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WINNEBAGO COUNTY PUBLIC HEALTH",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-06",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "SHAFFER",
        "authorized_official_first_name": "JAYNE",
        "authorized_official_middle_name": "SUSAN",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "641-585-4763",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "RNC"
    },
    "taxonomies": [
        {
            "code": "251F00000X",
            "taxonomy_group": "",
            "desc": "Home Infusion",
            "state": "IA",
            "license": "34690",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Forest City, IA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.