County of Bremer

Primary specialty

Developmentally Disabled Services Day Training AgencyTaxonomy code 251C00000X

License

NONE Issued in NU

Legal business name

COUNTY OF BREMER

Doing business as

Bremer County Community Based Services

Practice address

112 10TH Street S.W.
Waverly, IA 50677

Phone

(319) 352-2990

Fax

(319) 352-2979

NPI assigned

Jul 5, 2006

Last updated

Jul 29, 2008By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Michael Isaacson

Title

Director

Phone

(319) 352-2990

Specialties & licenses 1

Addresses

Other identifiers 3

Other names 1

• Bremer County Community Based Services Doing business as

Tax ID family

County of Bremer2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

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

• County of Bremer

  dba Bremer County Health Department

  • Public Health or Welfare Agency
  • Waverly, IA
  • NPI 1942807359
  NPD tax ID

Locations

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

{
    "created_epoch": "1152057600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1217289600000",
    "number": "1114958535",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "112 10TH STREET S.W.",
            "city": "WAVERLY",
            "state": "IA",
            "postal_code": "50677",
            "telephone_number": "319-352-2990",
            "fax_number": "319-352-2979"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "112 10TH STREET S.W.",
            "city": "WAVERLY",
            "state": "IA",
            "postal_code": "50677",
            "telephone_number": "319-352-2990",
            "fax_number": "319-352-2979"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COUNTY OF BREMER",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-05",
        "last_updated": "2008-07-29",
        "status": "A",
        "authorized_official_last_name": "ISAACSON",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "319-352-2990"
    },
    "taxonomies": [
        {
            "code": "251C00000X",
            "taxonomy_group": "",
            "desc": "Day Training, Developmentally Disabled Services",
            "state": "NU",
            "license": "NONE",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0229096",
            "state": "IA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0136275",
            "state": "IA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1229096",
            "state": "IA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Bremer County Community Based Services",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• College Hill Drug Co.
• James Ross Cone, LPT
• Amanda Cook, M.A., CF-SLP
• Jessica Lillie Corcoran, D.D.S.
• Sara Nicole Corcoran, M.S.
• County of Bremer (Bremer County Health Department)
• County of Bremer (Bremer County Health Department)
• Julie Marie Cousin, NP
• Garrett Thomas Cox, PT, DPT, ATC
• Linda K Croal, OT

• Developmentally Disabled Services Day Training Agency in Waverly, IA
• Providers in Waverly, IA by specialty
• Developmentally Disabled Services Day Training Agency in Iowa

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 29, 2008; 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.