Provider Demographics
NPI:1427104082
Name:IIHS INC.
Entity type:Organization
Organization Name:IIHS INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CERTIFIED MANAGER
Authorized Official - Prefix:MS
Authorized Official - First Name:DEBRA
Authorized Official - Middle Name:
Authorized Official - Last Name:JORGENSEN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:417-256-8722
Mailing Address - Street 1:401 WASHINGTON AVENUE
Mailing Address - Street 2:
Mailing Address - City:WEST PLAINS
Mailing Address - State:MO
Mailing Address - Zip Code:65775-3444
Mailing Address - Country:US
Mailing Address - Phone:417-256-8722
Mailing Address - Fax:417-256-8733
Practice Address - Street 1:401 WASHINGTON AVENUE
Practice Address - Street 2:
Practice Address - City:WEST PLAINS
Practice Address - State:MO
Practice Address - Zip Code:65775-3444
Practice Address - Country:US
Practice Address - Phone:417-256-8722
Practice Address - Fax:417-256-8733
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-01-26
Last Update Date:2023-07-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes3747A0650XNursing Service Related ProvidersTechnicianAttendant Care ProviderGroup - Single Specialty
No253Z00000XAgenciesIn Home Supportive CareGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
MO266264001Medicaid