- Enrollment id
- O20050926000783
- Enrollment state
- IA
- Provider type code
- 00-06
- Provider type text
- PART A PROVIDER - HOME HEALTH AGENCY
- Npi
- 1992708531
- Multiple npi flag
- N
- Ccn
- 167049
- Associate id
- 4486563061
- Organization name
- PALO ALTO COUNTY HOSPITAL
- Doing business as name
- PALO ALTO COMMUNITY HEALTH SERVICES
- Organization type structure
- GOVERNMENT
- Proprietary nonprofit
- P
- Address line 1
- 3201 1ST ST
- City
- EMMETSBURG
- State
- IA
- Zip code
- 505362516
- Practice location type
- HHA BRANCH