Specialty |
Taxonomy Code | Specialty Code | Provider Type | |
Rural Health |
261QR1300X | B4[14] | Rural Health Clinic | |
Primary Care |
261QP2300X |
| NPI # | 1073898649 |
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| LBN Legal business name | KEOKUK COUNTY HEALTH CENTER | ||||
| Authorized official | MATT IVES - (CFO) | ||||
| Entity | Organization | ||||
| Organization subpart 1 | Yes | ||||
| Enumeration date | 10/14/2011 | ||||
| Last updated | 10/09/2019 - About 7 years ago | ||||
| Identifiers |
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KEOKUK COUNTY HEALTH CENTER
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