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COUNTRY VIEW NPI 1033496518


NPI Information

NPI: 1033496518
Provider Name: COUNTRY VIEW
Classification: Intermediate Care Facility, Mental Illness - 310500000X
Entity Type: Organization
Address:
1410 W DUNKERTON RD
WATERLOO, IA
ZIP 50703
Phone: (319) 291-2509
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COUNTRY VIEW is an intermediate care facility mental illness in Waterloo, IA. The provider is a nursing facility that provides an intermediate level of nursing care to individuals whose functional abilities are significantly compromise by mental illness. COUNTRY VIEW NPI is 1033496518. The provider is registered as an organization entity type.

The provider's business location address is:

1410 W DUNKERTON RD
WATERLOO, IA
ZIP 50703-648
Phone: (319) 291-2509
Fax: (319) 291-2570

The provider's authorized official is Douglas C. Meyer .
The authorized official title is Provisional Administrator and has the following contact phone number (319) 291-2509.

The enumeration date for this NPI number is 11/10/2011 and was last updated on 5/10/2013.


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
1310500000XIntermediate Care Facility, Mental Illness070529IOWAYes

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
10806984MEDICAIDIOWA

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: 11/14/2023

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