NPIMap

Organization Active NPI

Linn County MHDD Services

  • Case Management Agency
  • Cedar Rapids, IA
National Provider Identifier
1831278639
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Case Management AgencyTaxonomy code 251B00000X
Legal business name
LINN COUNTY MHDD SERVICES
Practice address
305 2ND Ave SE
Cedar Rapids, IA 52401-1215
Phone
(319) 892-5620
Fax
(319) 892-5677
NPI assigned
Nov 3, 2006
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
Mr. Craig E Wood
Title
Linn County CPC
Phone
(319) 892-5620

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Case Management Agency 251B00000X IA Primary

Addresses

Primary practice location

305 2ND Ave SE
Cedar Rapids, IA 52401-1215

Mailing address

305 2ND Ave SE
Cedar Rapids, IA 52401-1215
Phone (319) 892-5620

Other identifiers 1

IdentifierTypeStateIssuer
0054015MedicaidIA

National Provider Directory

National Provider Directory
Tax ID family
County of Linn10 organizations share this tax ID, including this one

Other organizations with this tax ID 9

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

Locations

305 2nd Ave SE
Cedar Rapids, IA 52401
Phone (319) 362-1170

NPI Registry JSON

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

{
    "created_epoch": "1162512000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1831278639",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "305 2ND AVE SE",
            "city": "CEDAR RAPIDS",
            "state": "IA",
            "postal_code": "524011215",
            "telephone_number": "319-892-5620",
            "fax_number": "319-892-5677"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "305 2ND AVE SE",
            "city": "CEDAR RAPIDS",
            "state": "IA",
            "postal_code": "524011215",
            "telephone_number": "319-892-5620",
            "fax_number": "319-892-5677"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LINN COUNTY MHDD SERVICES",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-03",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "WOOD",
        "authorized_official_first_name": "CRAIG",
        "authorized_official_middle_name": "E",
        "authorized_official_title_or_position": "LINN COUNTY CPC",
        "authorized_official_telephone_number": "319-892-5620",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "251B00000X",
            "taxonomy_group": "",
            "desc": "Case Management",
            "state": "IA",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0054015",
            "state": "IA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Cedar Rapids, 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.