Provider Demographics
NPI:1699087270
Name:AMERICAN HOME FINDING ASSOCIATION
Entity type:Organization
Organization Name:AMERICAN HOME FINDING ASSOCIATION
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:EXECUTIVE DIRECTOR
Authorized Official - Prefix:MRS
Authorized Official - First Name:TRACEY
Authorized Official - Middle Name:
Authorized Official - Last Name:BOXX-VASS
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:641-682-3449
Mailing Address - Street 1:PO BOX 656
Mailing Address - Street 2:
Mailing Address - City:OTTUMWA
Mailing Address - State:IA
Mailing Address - Zip Code:52501-0656
Mailing Address - Country:US
Mailing Address - Phone:641-682-3449
Mailing Address - Fax:641-682-5049
Practice Address - Street 1:333 CHURCH ST
Practice Address - Street 2:
Practice Address - City:OTTUMWA
Practice Address - State:IA
Practice Address - Zip Code:52501-4212
Practice Address - Country:US
Practice Address - Phone:641-682-8784
Practice Address - Fax:641-683-8389
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2010-07-12
Last Update Date:2013-04-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IA251K00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251K00000XAgenciesPublic Health or Welfare
Provider Identifiers
StateIdentifier IDID TypeIssuer
IA1700981487Medicaid
IA=========Medicaid