Provider Demographics
NPI:1982681508
Name:COUNTY OF WRIGHT
Entity type:Organization
Organization Name:COUNTY OF WRIGHT
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:ADMINISTRATOR
Authorized Official - Prefix:
Authorized Official - First Name:SANDRA
Authorized Official - Middle Name:LYNN
Authorized Official - Last Name:MCGRATH
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:515-532-3461
Mailing Address - Street 1:120 1ST AVE NW SUITE #1
Mailing Address - Street 2:
Mailing Address - City:CLARION
Mailing Address - State:IA
Mailing Address - Zip Code:50525-1401
Mailing Address - Country:US
Mailing Address - Phone:515-532-3461
Mailing Address - Fax:515-532-3762
Practice Address - Street 1:120 1ST AVE NW STE 1
Practice Address - Street 2:
Practice Address - City:CLARION
Practice Address - State:IA
Practice Address - Zip Code:50525-1445
Practice Address - Country:US
Practice Address - Phone:515-532-3461
Practice Address - Fax:515-532-3762
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2005-12-23
Last Update Date:2024-11-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
IA0671347Medicaid
67134OtherBCBS
IA0671347Medicaid