Stoddard County Targeted Case Management Inc

Primary specialty

Case Management AgencyTaxonomy code 251B00000X

Legal business name

STODDARD COUNTY TARGETED CASE MANAGEMENT INC

Practice address

1203 County Road 431
Dexter, MO 63841-2400

Phone

(573) 614-5095

Fax

(573) 614-5114

NPI assigned

Apr 11, 2013

Last updated

Jul 22, 2019By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mrs. Dana Lynn McClure

Title

Administrator

Phone

(573) 614-5095

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1365638400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1563753600000",
    "number": "1689017378",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 733",
            "city": "DEXTER",
            "state": "MO",
            "postal_code": "638410733",
            "telephone_number": "573-614-5095",
            "fax_number": "573-614-5114"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1203 COUNTY ROAD 431",
            "city": "DEXTER",
            "state": "MO",
            "postal_code": "638412400",
            "telephone_number": "573-614-5095",
            "fax_number": "573-614-5114"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "STODDARD COUNTY TARGETED CASE MANAGEMENT INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-04-11",
        "last_updated": "2019-07-22",
        "status": "A",
        "authorized_official_last_name": "MCCLURE",
        "authorized_official_first_name": "DANA",
        "authorized_official_middle_name": "LYNN",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "573-614-5095",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "251B00000X",
            "taxonomy_group": "",
            "desc": "Case Management",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Case Management Agency in Dexter, MO
• Providers in Dexter, MO by specialty
• Case Management Agency in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 22, 2019; 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.