Provider Demographics
NPI:1073690822
Name:WILKINSON-JOHNSTON, INC.
Entity type:Organization
Organization Name:WILKINSON-JOHNSTON, INC.
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT/ADMINISTRATOR
Authorized Official - Prefix:MRS
Authorized Official - First Name:LIZBETH
Authorized Official - Middle Name:
Authorized Official - Last Name:WILKINSON
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:641-322-3291
Mailing Address - Street 1:2168 US HWY. 34
Mailing Address - Street 2:PO BOX 409
Mailing Address - City:CORNING
Mailing Address - State:IA
Mailing Address - Zip Code:50841
Mailing Address - Country:US
Mailing Address - Phone:641-322-3291
Mailing Address - Fax:641-322-3600
Practice Address - Street 1:2168 US HWY. 34
Practice Address - Street 2:
Practice Address - City:CORNING
Practice Address - State:IA
Practice Address - Zip Code:50841
Practice Address - Country:US
Practice Address - Phone:641-322-3291
Practice Address - Fax:641-322-3600
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-11-01
Last Update Date:2008-06-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes311Z00000XNursing & Custodial Care FacilitiesCustodial Care Facility
Provider Identifiers
StateIdentifier IDID TypeIssuer
IA0234443Medicaid
IA0896415Medicaid
IA0450874Medicaid