NPIMap

Organization Active NPI

Sac County

Doing business as Sac Ida Case Management

  • Case Management Agency
  • Sac City, IA
National Provider Identifier
1336350339
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Case Management AgencyTaxonomy code 251B00000X
Legal business name
SAC COUNTY
Doing business as
Sac Ida Case Management
Practice address
1710 W Main St
Sac City, IA 50583-1012
Phone
(712) 662-7998
Fax
(712) 662-7762
NPI assigned
May 24, 2007
Last updated
Aug 22, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Mrs. Dawn Marie Villhauer-Murley
Title
Adminstrator
Phone
(712) 662-7998

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Case Management Agency 251B00000X Primary

Addresses

Primary practice location

1710 W Main St
Sac City, IA 50583-1012

Mailing address

1710 W Main St
Sac City, IA 50583-1012
Phone (712) 662-7998

Other identifiers 1

IdentifierTypeStateIssuer
0760132MedicaidIA

Other names 1

  • Sac Ida Case Management Doing business as

National Provider Directory

National Provider Directory
Tax ID family
County of Sac5 organizations share this tax ID, including this one

Other organizations with this tax ID 4

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

NPI Registry JSON

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

{
    "created_epoch": "1179964800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1336350339",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1710 W MAIN ST",
            "city": "SAC CITY",
            "state": "IA",
            "postal_code": "505831012",
            "telephone_number": "712-662-7998",
            "fax_number": "712-662-7762"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1710 W MAIN ST",
            "city": "SAC CITY",
            "state": "IA",
            "postal_code": "505831012",
            "telephone_number": "712-662-7998",
            "fax_number": "712-662-7762"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SAC COUNTY",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-24",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "VILLHAUER-MURLEY",
        "authorized_official_first_name": "DAWN",
        "authorized_official_middle_name": "MARIE",
        "authorized_official_title_or_position": "ADMINSTRATOR",
        "authorized_official_telephone_number": "712-662-7998",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "251B00000X",
            "taxonomy_group": "",
            "desc": "Case Management",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0760132",
            "state": "IA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Sac Ida Case Management",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Sac City, IA

Sources for this page

  • 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.