Provider Demographics
NPI:1285812644
Name:COUNTY OF POLK
Entity type:Organization
Organization Name:COUNTY OF POLK
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DIRECTOR
Authorized Official - Prefix:MS
Authorized Official - First Name:DARLA
Authorized Official - Middle Name:J
Authorized Official - Last Name:WINSLOW
Authorized Official - Suffix:
Authorized Official - Credentials:RN
Authorized Official - Phone:402-747-2211
Mailing Address - Street 1:330 N STATE ST
Mailing Address - Street 2:P O BOX 316
Mailing Address - City:OSCEOLA
Mailing Address - State:NE
Mailing Address - Zip Code:68651-5522
Mailing Address - Country:US
Mailing Address - Phone:402-747-2211
Mailing Address - Fax:402-747-7241
Practice Address - Street 1:330 N STATE ST
Practice Address - Street 2:
Practice Address - City:OSCEOLA
Practice Address - State:NE
Practice Address - Zip Code:68651-5522
Practice Address - Country:US
Practice Address - Phone:402-747-2211
Practice Address - Fax:402-747-7241
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-02-07
Last Update Date:2013-01-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251K00000XAgenciesPublic Health or Welfare