Country View

LBN: County Of Blackhawk
Country View is an health care organization with primary practice located at 1410 W Dunkerton Rd , Waterloo IA 50703-9648. The organization recently has 2 registered licenses in different health care specialties including Nursing & Custodial Care Facilities / Nursing Facility/Intermediate Care Facility, Nursing & Custodial Care Facilities / Skilled Nursing Facility. Nursing & Custodial Care Facilities / Skilled Nursing Facility is the primary health care specialty. County Of Blackhawk can be contacted via phone (319) 291-2509, or through Meyer, Douglas C. via phone (319) 291-2509.

Contact Information

Primary practice address
1410 W Dunkerton Rd Waterloo IA 50703-9648
Phone: (319) 291-2509
Fax: (319) 291-2570
Website:
Map and Directions
Authorized official contact:
Name: Meyer, Douglas C.
Phone: (319) 291-2509

Health care specialties

SpecialtyCodeLicense #State
Nursing & Custodial Care Facilities / Nursing Facility/Intermediate Care Facility 313M00000X 070529 Iowa
Nursing & Custodial Care Facilities / Skilled Nursing Facility 314000000X 070529 Iowa

Profile Details

NPI number 1346245347
LBN Legal business name County Of Blackhawk
DBA Doing business as Country View
Authorized official Meyer, Douglas C.
Entity Organization
Organization subpart 1 No
Enumeration date Jun 16th, 2005
Last updated May 10th, 2013 - about 12 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1346245347 NPPES
Iowa MEDICAID 0806984
Iowa MEDICAID 0181776

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