NPIMap

Organization Active NPI

Shelby County Case Management

  • Case Management Agency
  • Harlan, IA
National Provider Identifier
1346442530
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Case Management AgencyTaxonomy code 251B00000X
License
0748657 Issued in IA
Legal business name
SHELBY COUNTY CASE MANAGEMENT
Practice address
612 Court St
Harlan, IA 51537-1464
Phone
(712) 755-2843
Fax
(712) 755-2840
NPI assigned
Jun 1, 2007
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
Kim Maassen
Title
Office Assistant
Phone
(712) 755-2843

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Case Management Agency 251B00000X 0748657 IA Primary

Addresses

Primary practice location

612 Court St
Harlan, IA 51537-1464

Mailing address

612 Court St
Harlan, IA 51537-1464
Phone (712) 755-2843

Other identifiers 1

IdentifierTypeStateIssuer
0748657MedicaidIA

National Provider Directory

National Provider Directory
Tax ID family
County of Shelby5 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": "1180656000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1346442530",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "612 COURT ST",
            "city": "HARLAN",
            "state": "IA",
            "postal_code": "515371464",
            "telephone_number": "712-755-2843",
            "fax_number": "712-755-2840"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "612 COURT ST",
            "city": "HARLAN",
            "state": "IA",
            "postal_code": "515371464",
            "telephone_number": "712-755-2843",
            "fax_number": "712-755-2840"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SHELBY COUNTY CASE MANAGEMENT",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-06-01",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "MAASSEN",
        "authorized_official_first_name": "KIM",
        "authorized_official_title_or_position": "OFFICE ASSISTANT",
        "authorized_official_telephone_number": "712-755-2843"
    },
    "taxonomies": [
        {
            "code": "251B00000X",
            "taxonomy_group": "",
            "desc": "Case Management",
            "state": "IA",
            "license": "0748657",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0748657",
            "state": "IA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Harlan, 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.