Organization Active NPI

Support Services of South Central Iowa

  • Community/Behavioral Health Agency
  • Greenfield, IA
National Provider Identifier
1053467159
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
Legal business name
SUPPORT SERVICES OF SOUTH CENTRAL IOWA
Practice address
306 Public SQ
Greenfield, IA 50849-1257
Phone
(641) 743-0063
Fax
(641) 743-0904
NPI assigned
Jan 25, 2007
Last updated
Aug 22, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Ms. Jean M Rommes
Title
President
Phone
(641) 782-8495

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Behavioral Health Agency 251S00000X NU Primary

Addresses

Primary practice location

306 Public SQ
Greenfield, IA 50849-1257

Mailing address

306 Public SQ
Greenfield, IA 50849-1257
Phone (641) 743-0063

Other identifiers 1

IdentifierTypeStateIssuer
0219832MedicaidIA

National Provider Directory

National Provider Directory

Locations

306 Public Sq
Greenfield, IA 50849
Phone (641) 743-0063

NPI Registry JSON

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

{
    "created_epoch": "1169683200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1053467159",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "306 PUBLIC SQ",
            "city": "GREENFIELD",
            "state": "IA",
            "postal_code": "508491257",
            "telephone_number": "641-743-0063",
            "fax_number": "641-743-0904"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "306 PUBLIC SQ",
            "city": "GREENFIELD",
            "state": "IA",
            "postal_code": "508491257",
            "telephone_number": "641-743-0063",
            "fax_number": "641-743-0904"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SUPPORT SERVICES OF SOUTH CENTRAL IOWA",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-25",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "ROMMES",
        "authorized_official_first_name": "JEAN",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "641-782-8495",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0219832",
            "state": "IA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Greenfield, IA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.