- Enrollment id
- O20100309000391
- Enrollment state
- IA
- Provider type code
- 00-06
- Provider type text
- PART A PROVIDER - HOME HEALTH AGENCY
- Npi
- 1285704692
- Multiple npi flag
- N
- Ccn
- 167166
- Associate id
- 3375454259
- Organization name
- KOSSUTH REGIONAL HEALTH CENTER
- Organization type structure
- GOVERNMENT
- Proprietary nonprofit
- N
- Address line 1
- 1515 S PHILLIPS ST
- City
- ALGONA
- State
- IA
- Zip code
- 505113649
- Practice location type
- HHA BRANCH