- Enrollment id
- O20131227001207
- Enrollment state
- IA
- Provider type code
- 00-08
- Provider type text
- PART A PROVIDER - HOSPICE
- Npi
- 1679644330
- Multiple npi flag
- N
- Ccn
- 161515
- Associate id
- 3375454259
- Organization name
- KOSSUTH REGIONAL HEALTH CENTER
- Doing business as name
- KOSSUTH REGIONAL HEALTH CENTER
- Organization type structure
- OTHER
- Organization other type text
- COUNTY HEALTHCARE FACILITY
- Proprietary nonprofit
- N
- Address line 1
- 1515 S PHILLIPS ST
- City
- ALGONA
- State
- IA
- Zip code
- 505113649