- Enrollment id
- O20090423000547
- Enrollment state
- IA
- Provider type code
- 00-06
- Provider type text
- PART A PROVIDER - HOME HEALTH AGENCY
- Npi
- 1467500876
- Multiple npi flag
- N
- Ccn
- 167190
- Associate id
- 4688582935
- Organization name
- WINNESHIEK MEDICAL CENTER
- Doing business as name
- WINNMED HOME HEALTH
- Organization type structure
- OTHER
- Organization other type text
- NON-PROFIT
- Proprietary nonprofit
- N
- Address line 1
- 901 MONTGOMERY ST
- Address line 2
- STE D
- City
- DECORAH
- State
- IA
- Zip code
- 521012364