NPIMap

Organization Active NPI

Community Care, Inc.

  • Community/Behavioral Health Agency
  • De Witt, IA
National Provider Identifier
1629100508
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
Legal business name
COMMUNITY CARE, INC.
Practice address
108 Industrial St
De Witt, IA 52742-2063
Phone
(563) 659-4100
Fax
(563) 659-1120
NPI assigned
Mar 9, 2007
Organization subpart
No

Authorized official

NPPES NPI Registry
Name
Mr. Benjamin Wright
Title
Executive Director
Phone
(563) 659-4100

Corporate family (same tax ID) 18

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

View all 18

National Provider Directory

National Provider Directory
Tax ID family
Community Care Inc (19 organizations share this tax ID)

Specialties & licenses 1

NPPES NPI Registry
Specialty (taxonomy)CodeLicenseStatePrimary
Community/Behavioral Health Agency 251S00000X IA Primary

Addresses

NPPES NPI Registry

Primary practice location

108 Industrial St
De Witt, IA 52742-2063

Mailing address

108 Industrial St
De Witt, IA 52742-2063
Phone (563) 659-4100

Other identifiers 1

NPPES NPI Registry
IdentifierTypeStateIssuer
07-37874MedicaidIA

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Aug 22, 2020.

{
    "created_epoch": "1173398400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1629100508",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "108 INDUSTRIAL ST",
            "city": "DE WITT",
            "state": "IA",
            "postal_code": "527422063",
            "telephone_number": "563-659-4100",
            "fax_number": "563-659-1120"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "108 INDUSTRIAL ST",
            "city": "DE WITT",
            "state": "IA",
            "postal_code": "527422063",
            "telephone_number": "563-659-4100",
            "fax_number": "563-659-1120"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COMMUNITY CARE, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-09",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "WRIGHT",
        "authorized_official_first_name": "BENJAMIN",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "563-659-4100",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "IA",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "07-37874",
            "state": "IA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in De Witt, 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.