COUNTY OF BLACK HAWK (NPI# 1730203407) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1730203407 |
| Entity Type | Organization |
| Organization Name | COUNTY OF BLACK HAWK |
| Other Organization Name | BLACK HAWK COUNTY HEALTH DEPARTMENT |
| Practice Address |
1407 Independence Ave 5th Floor Waterloo IA 50703-4396 |
| Practice Telephone | 3192912413 |
| Practice Fax Number | 3192912418 |
| Mailing Telephone | 3192912413 |
| Mailing Fax Number | 3192912418 |
| Enumeration Date | 2007-03-19 |
| Last Update Date | 2019-02-05 |
| Authorized Official Name | DR. NAFISSA CISSE EGBUONYE (DIRECTOR) |
| Authorized Official Telephone | 3192912413 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 251K00000X | Public Health or Welfare | Agencies |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| IA | 0186304 | 05 |
| Other Name | Type Code |
|---|---|
| Black Hawk County Health Department | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1639214067 | County of Black Hawk | Public Health or Welfare | 1407 Independence Ave Fl 5, Waterloo, IA 50703-4396 | 2007-02-21 |
| 1891194353 | County of Black Hawk | Nurse Practitioner | 1407 Independence Ave Fl 5, Waterloo, IA 50703-4396 | 2014-08-20 |
| 1215052451 | County of Black Hawk | Public Health or Welfare | 1407 Independence Ave Fl 5, Waterloo, IA 50703-4396 | 2007-03-20 |
| Street Address |
1407 INDEPENDENCE AVE 5TH FLOOR |
| City | WATERLOO |
| State | IA |
| Zip Code | 50703-4396 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1699060004 | Rhonda Bottke | Nurse Practitioner | 1407 Independence Ave, 5th Floor, Waterloo, IA 50703-4300 | 2011-06-14 |
| 1578858999 | Georgine Wagoner | Nurse Practitioner | 1407 Independence Ave, 5th Floor, Waterloo, IA 50703-4300 | 2011-06-14 |
| 1356466239 | Black Hawk County | Public Health or Welfare | 1407 Independence Ave, 5th Floor, Waterloo, IA 50703-4396 | 2007-03-20 |
| 1659495315 | Black Hawk County | Public Health or Welfare | 1407 Independence Ave, 5th Floor, Waterloo, IA 50703-4396 | 2007-03-19 |
| 1194856799 | Black Hawk County Health Department | Public Health or Welfare | 1407 Independence Ave, 5th Floor, Waterloo, IA 50703-4396 | 2007-03-08 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1306363841 | Kristie Wood | Counselor | 1420 W. Donald St, Waterloo, IA 50703 | 2017-08-25 |
| 1215359054 | Chuck Corwin | Counselor | 607 Sycamore Street, Suite 300, Waterloo, IA 50703 | 2014-01-14 |
| 1679672554 | Linda D Bartollas | Social Worker | 146 West Dale Street, Suite 101, Waterloo, IA 50703 | 2006-09-21 |
| 1558477745 | Brent Matthew Hintz | Obstetrics & Gynecology | 212 West Dale St., Suite 402, Waterloo, IA 50703 | 2006-08-21 |
| 1588629729 | Mir Ahmad Waziri | Pediatrics | 212 W Dale Street, Suite 302, Waterloo, IA 50703 | 2006-04-19 |
| 1568432615 | Wei Yang | Pathology | Northeast Iowa Pathology Associates, PC, 1825 Logan Avenue, Waterloo, IA 50703 | 2006-01-23 |
| 1689158040 | Megan Elizabeth O'neal | Nurse Practitioner | 1631 Logan Ave, Waterloo, IA 50703 | 2018-09-21 |
| 1972031359 | Stephanie Rose Smith | Nurse Practitioner | 1631 Logan Ave, Waterloo, IA 50703 | 2017-05-30 |
| 1801263462 | Krissy Jean Wieland | Nurse Practitioner | 220 Franklin St, Waterloo, IA 50703 | 2015-08-28 |
| 1699169698 | Jens Masters Olsen | Emergency Medicine | 1825 Logan Ave, Waterloo, IA 50703 | 2015-03-27 |
| Find all providers in zip 50703 | ||||
| Taxonomy Code | 251K00000X |
| Grouping | Agencies |
| Classification | Public Health or Welfare |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1639214067 | County of Black Hawk | Public Health or Welfare | 1407 Independence Ave Fl 5, Waterloo, IA 50703-4396 | 2007-02-21 |
| 1639473200 | County of Monroe | Public Health or Welfare | 901 Illinois Ave, Suite A, Waterloo, IL 62298-1142 | 2010-12-22 |
| 1619110566 | County of Monroe | Public Health or Welfare | 901 Illinois Ave, Suite A, Waterloo, IL 62298-1142 | 2009-04-08 |
| 1215052451 | County of Black Hawk | Public Health or Welfare | 1407 Independence Ave Fl 5, Waterloo, IA 50703-4396 | 2007-03-20 |
| 1689799801 | Black Hawk County | Public Health or Welfare | 425 E Ridgeway Ave, Waterloo, IA 50701-4239 | 2007-03-20 |
| 1356466239 | Black Hawk County | Public Health or Welfare | 1407 Independence Ave, 5th Floor, Waterloo, IA 50703-4396 | 2007-03-20 |
| 1861516452 | County of Blackhawk | Public Health or Welfare | 1407 Independence Ave Fl 5, Waterloo, IA 50703-4396 | 2007-03-19 |
| 1659495315 | Black Hawk County | Public Health or Welfare | 1407 Independence Ave, 5th Floor, Waterloo, IA 50703-4396 | 2007-03-19 |
| 1194856799 | Black Hawk County Health Department | Public Health or Welfare | 1407 Independence Ave, 5th Floor, Waterloo, IA 50703-4396 | 2007-03-08 |
| 1982739082 | Allen Memorial Hospital Corporation | Public Health or Welfare | 1825 Logan Ave, Waterloo, IA 50703-1916 | 2007-02-22 |
| Find all providers in WATERLOO | ||||
Please comment or provide details below to improve the information on COUNTY OF BLACK HAWK.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.