Provider Demographics
NPI:1912945833
Name:COUNTY OF HAMILTON
Entity type:Organization
Organization Name:COUNTY OF HAMILTON
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:ADMINISTRATOR
Authorized Official - Prefix:MRS
Authorized Official - First Name:SHELBY
Authorized Official - Middle Name:A
Authorized Official - Last Name:KROONA
Authorized Official - Suffix:
Authorized Official - Credentials:MPH BSN
Authorized Official - Phone:515-832-9565
Mailing Address - Street 1:1610 COLLINS ST STE 1
Mailing Address - Street 2:
Mailing Address - City:WEBSTER CITY
Mailing Address - State:IA
Mailing Address - Zip Code:50595-2610
Mailing Address - Country:US
Mailing Address - Phone:515-832-9565
Mailing Address - Fax:515-832-9660
Practice Address - Street 1:1610 COLLINS ST STE 1
Practice Address - Street 2:
Practice Address - City:WEBSTER CITY
Practice Address - State:IA
Practice Address - Zip Code:50595-2610
Practice Address - Country:US
Practice Address - Phone:515-832-9565
Practice Address - Fax:515-832-9660
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-06-03
Last Update Date:2020-12-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
251E00000X
IA16D0716721251K00000X
IA251E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health
No251K00000XAgenciesPublic Health or Welfare
Provider Identifiers
StateIdentifier IDID TypeIssuer
IA0670877Medicaid
IA0670877Medicaid