Ida Joanne Dobbins

Individual provider Active NPI Case Manager/Care Coordinator · Fallon, NV

NPI 1275973992 · NPPES record last updated Jun 26, 2013

Key facts

NPI
1275973992
Entity type
Individual (NPI type 1)
Primary specialty
Case Manager/Care Coordinator 171M00000X
Practice address
1490 Grimes St
Fallon, NV 89406-3103
Phone
(775) 423-1412
Fax
(775) 423-4054
NPI assigned
Jun 26, 2013
Sex
Female
Sole proprietor
No

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No

Practice roles

OrganizationSpecialtyStatusNew patients
Churchill Council on Alcohol & Other Drugs Past
since Mar 21, 2021
Accepting new patients
Churchill Council on Alcohol & Other Drugs Past
since Mar 9, 2021
Accepting new patients

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Case Manager/Care Coordinator 171M00000X Yes

Addresses

Primary practice location

1490 Grimes St
Fallon, NV 89406-3103

Mailing address

PO Box 1240
Fallon, NV 89407-1240
Phone (775) 423-1412

Other providers in Fallon, NV

All providers in Fallon, NV · Case Manager/Care Coordinator in Nevada

Sources for this page

Verify at the official NPI Registry.