Jackson County Senior Citizen Center

Primary specialty

Public Health or Welfare AgencyTaxonomy code 251K00000X

Legal business name

JACKSON COUNTY SENIOR CITIZEN CENTER

Practice address

3505 Stoneman Rd Ste 4
Dubuque, IA 52002-5305

Phone

(563) 588-3970

Fax

(563) 588-1952

NPI assigned

Nov 10, 2006

Organization subpart

No

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

Authorized official

Name

Ms. Linda McDonald

Title

Director

Phone

(563) 588-3970

Specialties & licenses 1

Addresses

Other identifiers 1

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

{
    "created_epoch": "1163116800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1831260157",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3505 STONEMAN RD STE 4",
            "city": "DUBUQUE",
            "state": "IA",
            "postal_code": "520025305",
            "telephone_number": "563-588-3970",
            "fax_number": "563-588-1952"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3505 STONEMAN RD STE 4",
            "city": "DUBUQUE",
            "state": "IA",
            "postal_code": "520025305",
            "telephone_number": "563-588-3970",
            "fax_number": "563-588-1952"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JACKSON COUNTY SENIOR CITIZEN CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-10",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "MCDONALD",
        "authorized_official_first_name": "LINDA",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "563-588-3970",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "251K00000X",
            "taxonomy_group": "",
            "desc": "Public Health or Welfare",
            "state": "IA",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0153619",
            "state": "IA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• George Behnam Isaac, M.D.
• Simon Behnam Isaac, M.D.
• Frederick Simon Isaak, M.D.
• Julie C Ivanov, PA-C
• Ronald A. Iverson, M.D.
• Emily E Jackson
• Kristine M Jackson, ARNP
• Sarah Jacobitz-Kizzier, M.D., M.S.
• Amy Jacobs
• Brigitte Jacobs

• Public Health or Welfare Agency in Dubuque, IA
• Providers in Dubuque, 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 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.