Organization Active NPI

Choice, Inc

  • Community/Behavioral Health Agency
  • Corning, IA
National Provider Identifier
1700963576
Registry record updated Aug 3, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
Legal business name
CHOICE, INC
Practice address
600 8TH St
Corning, IA 50841-1406
Phone
(641) 322-3434
Fax
(641) 322-4370
NPI assigned
Nov 1, 2006
Last updated
Aug 3, 2023By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 3, 2023

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

Authorized official

Name
Mr. Conrad Wilkinson
Title
Cfo
Phone
(641) 322-3291

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Behavioral Health Agency 251S00000X NU Primary

Addresses

Primary practice location

600 8TH St
Corning, IA 50841-1406

Mailing address

600 8TH St
PO Box 409
Corning, IA 50841-1406
Phone (641) 322-3291

Other identifiers 3

IdentifierTypeStateIssuer
0739110MedicaidIA
0470484MedicaidIA
0491613MedicaidIA

National Provider Directory

National Provider Directory

Locations

600 8th St
Corning, IA 50841
Phone (641) 322-3434

NPI Registry JSON

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

{
    "created_epoch": "1162339200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1691020800000",
    "number": "1700963576",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "600 8TH ST",
            "address_2": "PO BOX 409",
            "city": "CORNING",
            "state": "IA",
            "postal_code": "508411406",
            "telephone_number": "641-322-3291",
            "fax_number": "641-322-4370"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "600 8TH ST",
            "city": "CORNING",
            "state": "IA",
            "postal_code": "508411406",
            "telephone_number": "641-322-3434",
            "fax_number": "641-322-4370"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CHOICE, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-01",
        "last_updated": "2023-08-03",
        "certification_date": "2023-08-03",
        "status": "A",
        "authorized_official_last_name": "WILKINSON",
        "authorized_official_first_name": "CONRAD",
        "authorized_official_title_or_position": "CFO",
        "authorized_official_telephone_number": "641-322-3291",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0739110",
            "state": "IA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0470484",
            "state": "IA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0491613",
            "state": "IA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Corning, IA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 3, 2023; 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.