JACKSON COUNTY SENIOR CITIZEN CENTER NPI 1831260157

NPI Information

NPI: 1831260157
Provider Name: JACKSON COUNTY SENIOR CITIZEN CENTER
Classification: Public Health or Welfare - 251K00000X
Entity Type: Organization
Address:
3505 STONEMAN RD STE 4
DUBUQUE, IA
ZIP 52002
Phone: (563) 588-3970
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JACKSON COUNTY SENIOR CITIZEN CENTER is a public health or welfare in Dubuque, IA. JACKSON COUNTY SENIOR CITIZEN CENTER NPI is 1831260157. The provider is registered as an organization entity type.

The provider's business location address is:

3505 STONEMAN RD STE 4
DUBUQUE, IA
ZIP 52002-305
Phone: (563) 588-3970
Fax: (563) 588-1952

The provider's authorized official is Linda Mcdonald .
The authorized official title is Director and has the following contact phone number (563) 588-3970.

The enumeration date for this NPI number is 11/10/2006 and was last updated on 8/22/2020.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	251K00000X	Public Health or Welfare			IOWA	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	0153619	MEDICAID	IOWA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

NPI Synchronization or Removal

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