Organization Active NPI

Cerro Gordo County

  • Case Management Agency
  • Mason City, IA
National Provider Identifier
1467657221
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Case Management AgencyTaxonomy code 251B00000X
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

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. Mary Beth Nelson
Title
Case Management Director
Phone
(641) 421-3122

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
0054726MedicaidIA

Other names 1

  • Cerro Gordo County Case Management Former legal business name

National Provider Directory

National Provider Directory
Tax ID family
Cerro Gordo County2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

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": "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.

Verify at the official NPI Registry.