Provider Demographics
NPI:1992756936
Name:HAMILTON COUNTY PUBLIC HOSPITAL HOME CARE
Entity type:Organization
Organization Name:HAMILTON COUNTY PUBLIC HOSPITAL HOME CARE
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:CHIEF EXECUTIVE OFFICER
Authorized Official - Prefix:MR
Authorized Official - First Name:PALMER
Authorized Official - Middle Name:W
Authorized Official - Last Name:SCHNEIDER
Authorized Official - Suffix:
Authorized Official - Credentials:CEO
Authorized Official - Phone:515-832-7700
Mailing Address - Street 1:P.O. BOX 430
Mailing Address - Street 2:
Mailing Address - City:WEBSTER CITY
Mailing Address - State:IA
Mailing Address - Zip Code:50595-0430
Mailing Address - Country:US
Mailing Address - Phone:515-832-7785
Mailing Address - Fax:515-832-7862
Practice Address - Street 1:2350 HOSPITAL DRIVE
Practice Address - Street 2:
Practice Address - City:WEBSTER CITY
Practice Address - State:IA
Practice Address - Zip Code:50595-6600
Practice Address - Country:US
Practice Address - Phone:515-832-7785
Practice Address - Fax:515-832-7862
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:HAMILTON COUNTY PUBLIC HOSPITAL
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2006-05-15
Last Update Date:2012-08-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332B00000XSuppliersDurable Medical Equipment & Medical Supplies
Provider Identifiers
StateIdentifier IDID TypeIssuer
IA29168OtherWELLMARK BLUE CROSS
IA0085548Medicaid
F239551OtherMIDLANDS CHOICE
F239551OtherMIDLANDS CHOICE