County Community Services

Primary specialty

Case Management AgencyTaxonomy code 251B00000X

Legal business name

COUNTY COMMUNITY SERVICES

Practice address

900 W 3Rd St
Boone, IA 50036-3914

Phone

(515) 433-0593

Fax

(515) 432-2480

NPI assigned

Jun 23, 2006

Last updated

Aug 22, 2020By 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

Mr. John Grush

Title

CPC

Phone

(515) 433-0593

Specialties & licenses 1

Addresses

Other identifiers 2

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

{
    "created_epoch": "1151020800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1144256272",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "900 W 3RD ST",
            "city": "BOONE",
            "state": "IA",
            "postal_code": "500363914",
            "telephone_number": "515-433-0593",
            "fax_number": "515-432-2480"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "900 W 3RD ST",
            "city": "BOONE",
            "state": "IA",
            "postal_code": "500363914",
            "telephone_number": "515-433-0593",
            "fax_number": "515-432-2480"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COUNTY COMMUNITY SERVICES",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-06-23",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "GRUSH",
        "authorized_official_first_name": "JOHN",
        "authorized_official_title_or_position": "CPC",
        "authorized_official_telephone_number": "515-433-0593",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "251B00000X",
            "taxonomy_group": "",
            "desc": "Case Management",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0490664",
            "state": "IA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0490656",
            "state": "IA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Rebecca Sue Clark, CRNA, MS, BSN
• Rodney Wayne Collins, LMFT
• John Richard Cook, M.D.
• Benjamin J Cooper
• Jacy Cornelis
• Adriana Cullinan, DPT
• Gena Marie Daly, D.C
• Angela L. Devries, RPH
• Macy Dieleman, O.D.
• Katherine M Dinges, LCSW

• Case Management Agency in Boone, IA
• Providers in Boone, IA by specialty
• Case Management Agency in Iowa

• 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.