NPIMap

Organization Active NPI

Southwest Iowa Case Management

  • Case Management Agency
  • Clarinda, IA
National Provider Identifier
1295886232
Registry record updated Feb 3, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Case Management AgencyTaxonomy code 251B00000X
License
IAC- CHAPTER 24 Issued in IA
Legal business name
SOUTHWEST IOWA CASE MANAGEMENT
Practice address
112 E Main St
Clarinda, IA 51632-2141
Phone
(712) 542-2983
Fax
(712) 542-2370
NPI assigned
Jan 16, 2007
Organization subpart
Yes
Parent organization
PAGE COUNTY GOVERNMENTAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Feb 3, 2012

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

Authorized official

Name
Ms. Jane Miller
Title
Administrator
Phone
(712) 542-2983

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Case Management Agency 251B00000X IAC- CHAPTER 24 IA Primary
Developmentally Disabled Services Day Training Agency 251C00000X IA

Addresses

Primary practice location

112 E Main St
Clarinda, IA 51632-2141

Mailing address

112 E Main St
Clarinda, IA 51632-2141
Phone (712) 542-2983

Other identifiers 3

IdentifierTypeStateIssuer
0153502MedicaidIA
0746545MedicaidIA
0162321MedicaidIA

National Provider Directory

National Provider Directory
Tax ID family
Page County Public Heal2 organizations share this tax ID, including this one
Part of
Page County Public Heal

Other organizations with this tax ID 1

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

Locations

112 E Main St
Clarinda, IA 51632
Phone (712) 542-2983

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1168905600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1328227200000",
    "number": "1295886232",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "112 E MAIN ST",
            "city": "CLARINDA",
            "state": "IA",
            "postal_code": "516322141",
            "telephone_number": "712-542-2983",
            "fax_number": "712-542-2370"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "112 E MAIN ST",
            "city": "CLARINDA",
            "state": "IA",
            "postal_code": "516322141",
            "telephone_number": "712-542-2983",
            "fax_number": "712-542-2370"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SOUTHWEST IOWA CASE MANAGEMENT",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "PAGE COUNTY GOVERNMENT",
        "enumeration_date": "2007-01-16",
        "last_updated": "2012-02-03",
        "status": "A",
        "authorized_official_last_name": "MILLER",
        "authorized_official_first_name": "JANE",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "712-542-2983",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "251B00000X",
            "taxonomy_group": "",
            "desc": "Case Management",
            "state": "IA",
            "license": "IAC- CHAPTER 24",
            "primary": true
        },
        {
            "code": "251C00000X",
            "taxonomy_group": "",
            "desc": "Day Training, Developmentally Disabled Services",
            "state": "IA",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0153502",
            "state": "IA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0746545",
            "state": "IA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0162321",
            "state": "IA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Clarinda, IA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 3, 2012; 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.