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TAYLOR COUNTY PUBLIC HEALTH AGENCY NPI 1013092220


NPI Information

NPI: 1013092220
Provider Name: TAYLOR COUNTY PUBLIC HEALTH AGENCY

Other Name: MCH PROJECT OF SOUTHWEST IOWA

Classification: Public Health or Welfare - 251K00000X
Entity Type: Organization

CLIA Number: 16D0648003

Address:
405 JEFFERSON ST
BEDFORD, IA
ZIP 50833
Phone: (712) 523-3405
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TAYLOR COUNTY PUBLIC HEALTH AGENCY is a public health or welfare in Bedford, IA. TAYLOR COUNTY PUBLIC HEALTH AGENCY NPI is 1013092220. The provider is registered as an organization entity type.
The provider Other Name Is Mch Project Of Southwest Iowa.

The provider's business location address is:

405 JEFFERSON ST
BEDFORD, IA
ZIP 50833-300
Phone: (712) 523-3405
Fax: (712) 523-3402

The provider's authorized official is Tami Blunt .
The authorized official title is Administrator and has the following contact phone number (712) 523-3405.

The CLIA number assigned to this NPI record is 16D0648003 - home health agency with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 10/26/2006 and was last updated on 8/22/2020.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1251K00000XPublic Health or WelfareIOWAYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
10058636MEDICAIDIOWA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.