Active NPI
Support Services of South Central Iowa
- Community/Behavioral Health Agency
- Greenfield, IA
National Provider Identifier
1053467159
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Community/Behavioral Health Agency
- 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, 2020
- Organization subpart
- No
NPPES NPI Registry
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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0219832 | Medicaid | IA |
National Provider Directory
National Provider DirectoryLocations
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
- Lisa Anne Rardin, D.C.
- Richard E Kohler DDS PC
- Ryan R. Frost, DDS, PLLC (Greenfield Dental)
- Spencer Sabourin, DPT
- Shopko Stores Operating Co LLC (Shopko Pharmacy 687)
- Turning Point Counseling Services LLC
- Robert A Weiland
- Ashley Ann Williams, PT, DPT
- Mary Jo Ytzen, ARNP
- Zion Integrated Behavioral Health Services Inc. (Greenfield)
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.