Organization Active NPI

Clay County Case Management

  • Case Management Agency
  • Spencer, IA
National Provider Identifier
1104263920
Registry record updated Jun 3, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Case Management AgencyTaxonomy code 251B00000X
License
0082966 Issued in IA
Legal business name
CLAY COUNTY CASE MANAGEMENT
Practice address
215 W 4TH St
Suite 6
Spencer, IA 51301-3860
Phone
(712) 262-9438
NPI assigned
Jun 3, 2013
Last updated
Jun 3, 2013By the provider in NPPES
Organization subpart
Yes
Parent organization
CLAY COUNTYAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Jun 3, 2013

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

Authorized official

Name
Ms. Kimberly S Wilson, LMSW
Title
Case Management Administrator
Phone
(712) 262-9438

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Case Management Agency 251B00000X 0082966 IA Primary

Addresses

Primary practice location

215 W 4TH St
Suite 6
Spencer, IA 51301-3860

Mailing address

215 W 4TH St
Suite 6
Spencer, IA 51301-3860
Phone (712) 262-9438

Other identifiers 1

IdentifierTypeStateIssuer
X000082966MedicaidIA

National Provider Directory

National Provider Directory
Tax ID family
Clay County2 organizations share this tax ID, including this one
Part of
Clay County

Other organizations with this tax ID 1

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

Locations

215 W 4th St
Ste 6
Spencer, IA 51301
Phone (712) 262-9438

Ownership & related parties

Parent organization (reported in NPPES) 1

This organization reports itself as a subpart in NPPES; the parent’s legal name matches this organization in the same state.

NPI Registry JSON

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

{
    "created_epoch": "1370217600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1370217600000",
    "number": "1104263920",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "215 W 4TH ST",
            "address_2": "SUITE 6",
            "city": "SPENCER",
            "state": "IA",
            "postal_code": "513013860",
            "telephone_number": "712-262-9438"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "215 W 4TH ST",
            "address_2": "SUITE 6",
            "city": "SPENCER",
            "state": "IA",
            "postal_code": "513013860",
            "telephone_number": "712-262-9438"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CLAY COUNTY CASE MANAGEMENT",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "CLAY COUNTY",
        "enumeration_date": "2013-06-03",
        "last_updated": "2013-06-03",
        "status": "A",
        "authorized_official_last_name": "WILSON",
        "authorized_official_first_name": "KIMBERLY",
        "authorized_official_middle_name": "S",
        "authorized_official_title_or_position": "CASE MANAGEMENT ADMINISTRATOR",
        "authorized_official_telephone_number": "712-262-9438",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "LMSW"
    },
    "taxonomies": [
        {
            "code": "251B00000X",
            "taxonomy_group": "",
            "desc": "Case Management",
            "state": "IA",
            "license": "0082966",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "X000082966",
            "state": "IA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Spencer, IA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 3, 2013; 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.