Active NPI
Cerro Gordo County
- Case Management Agency
- Mason City, IA
National Provider Identifier
1467657221
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Case Management Agency
- Legal business name
- CERRO GORDO COUNTY
- Practice address
- 220 N Washington Ave
3 4TH St. NE
Mason City, IA 50401-3220 - Phone
- (641) 421-3122
- Fax
- (641) 421-3132
- NPI assigned
- Jun 20, 2007
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mrs. Mary Beth Nelson
- Title
- Case Management Director
- Phone
- (641) 421-3122
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Case Management Agency | 251B00000X | Primary |
Addresses
Primary practice location
220 N Washington Ave
3 4TH St. NE
Mason City, IA 50401-3220
Mailing address
220 N Washington Ave
3 4TH St. NE
Mason City, IA 50401-3220
Phone (641) 421-3122
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0054726 | Medicaid | IA |
Other names 1
- Cerro Gordo County Case Management
National Provider Directory
National Provider Directory- Tax ID family
- Cerro Gordo County
Other organizations with this tax ID 1
Organizations that report the same tax identification number in the National Provider Directory.
-
- Case Management Agency
- Mason City, IA
- NPI 1578781654
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1182297600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1598054400000",
"number": "1467657221",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "220 N WASHINGTON AVE",
"address_2": "3 4TH ST. NE",
"city": "MASON CITY",
"state": "IA",
"postal_code": "504013220",
"telephone_number": "641-421-3122",
"fax_number": "641-421-3132"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "220 N WASHINGTON AVE",
"address_2": "3 4TH ST. NE",
"city": "MASON CITY",
"state": "IA",
"postal_code": "504013220",
"telephone_number": "641-421-3122",
"fax_number": "641-421-3132"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "CERRO GORDO COUNTY",
"organizational_subpart": "NO",
"enumeration_date": "2007-06-20",
"last_updated": "2020-08-22",
"status": "A",
"authorized_official_last_name": "NELSON",
"authorized_official_first_name": "MARY",
"authorized_official_middle_name": "BETH",
"authorized_official_title_or_position": "CASE MANAGEMENT DIRECTOR",
"authorized_official_telephone_number": "641-421-3122",
"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": "0054726",
"state": "IA"
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "Cerro Gordo County Case Management",
"code": "4",
"type": "Former Legal Business Name"
}
]
}
Other providers in Mason 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.