Organization Active NPI

Chickasaw-Mitchell County Case Management

  • Case Manager/Care Coordinator
  • New Hampton, IA
National Provider Identifier
1003967365
Registry record updated Sep 25, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Case Manager/Care CoordinatorTaxonomy code 171M00000X
Legal business name
CHICKASAW-MITCHELL COUNTY CASE MANAGEMENT
Practice address
24 N Chestnut Ave
New Hampton, IA 50659-1349
Phone
(641) 394-3426
NPI assigned
Jan 15, 2007
Last updated
Sep 25, 2012By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 25, 2012

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Sheila Kobliska
Title
Case Management Supervisor
Phone
(641) 394-3426

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Case Manager/Care Coordinator 171M00000X Primary

Addresses

Primary practice location

24 N Chestnut Ave
New Hampton, IA 50659-1349

Mailing address

PO Box 229
New Hampton, IA 50659-0229

Other identifiers 3

IdentifierTypeStateIssuer
283868000MedicaidIA
0062976MedicaidIA
0440461MedicaidIA

National Provider Directory

National Provider Directory
Tax ID family
Chickasaw-Mitchell County Case Management4 organizations share this tax ID, including this one

Other organizations with this tax ID 3

Organizations that report the same tax identification number in the National Provider Directory.

Locations

24 N Chestnut Ave
New Hampton, IA 50659
Phone (641) 394-3426

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1168819200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1348531200000",
    "number": "1003967365",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 229",
            "city": "NEW HAMPTON",
            "state": "IA",
            "postal_code": "506590229"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "24 N CHESTNUT AVE",
            "city": "NEW HAMPTON",
            "state": "IA",
            "postal_code": "506591349",
            "telephone_number": "641-394-3426"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CHICKASAW-MITCHELL COUNTY CASE MANAGEMENT",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-15",
        "last_updated": "2012-09-25",
        "status": "A",
        "authorized_official_last_name": "KOBLISKA",
        "authorized_official_first_name": "SHEILA",
        "authorized_official_title_or_position": "CASE MANAGEMENT SUPERVISOR",
        "authorized_official_telephone_number": "641-394-3426"
    },
    "taxonomies": [
        {
            "code": "171M00000X",
            "taxonomy_group": "",
            "desc": "Case Manager/Care Coordinator",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "283868000",
            "state": "IA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0062976",
            "state": "IA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0440461",
            "state": "IA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in New Hampton, IA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 25, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.