Active NPI
Clay County Case Management
- Case Management Agency
- Spencer, IA
National Provider Identifier
1104263920
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Case Management Agency
- License
- 0082966
- 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, 2013
- Organization subpart
- Yes
- Parent organization
- CLAY COUNTY
NPPES NPI Registry
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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| X000082966 | Medicaid | IA |
National Provider Directory
National Provider Directory- Tax ID family
- Clay County
- Part of
- Clay County
Other organizations with this tax ID 1
Organizations that report the same tax identification number in the National Provider Directory.
-
- Public Health or Welfare Agency
- Spencer, IA
- NPI 1033269246
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.
-
- Public Health or Welfare Agency
- Spencer, IA
- NPI 1033269246
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
- Gary Caviness, LBSW, IADC
- Michael K. Chapman, O.D.
- Chiropractic Arts Clinic of Spencer, PC
- David A Christ, M.D.
- Clay County
- Jennifer Marie Coates, OTR/L
- James L Coenen, PHARMACIST
- Community Health Center of Fort Dodge, Inc. (Community Health Center of Spencer)
- Compass Pointe, Behavioral Health Services
- Molly Conlon, PHARMD.
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.