Fayette County Case Management

Primary specialty

Case Management AgencyTaxonomy code 251B00000X

Legal business name

FAYETTE COUNTY CASE MANAGEMENT

Practice address

114 N Vine St
West Union, IA 52175-1302

Phone

(563) 422-5047

NPI assigned

Apr 13, 2007

Last updated

Aug 22, 2020By 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

Carol Keune

Title

Administrator

Phone

(563) 422-5047

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

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

{
    "created_epoch": "1176422400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1972727592",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 269",
            "city": "WEST UNION",
            "state": "IA",
            "postal_code": "521750269",
            "telephone_number": "563-422-5047"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "114 N VINE ST",
            "city": "WEST UNION",
            "state": "IA",
            "postal_code": "521751302",
            "telephone_number": "563-422-5047"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FAYETTE COUNTY CASE MANAGEMENT",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-04-13",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "KEUNE",
        "authorized_official_first_name": "CAROL",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "563-422-5047"
    },
    "taxonomies": [
        {
            "code": "251B00000X",
            "taxonomy_group": "",
            "desc": "Case Management",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0079178",
            "state": "IA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Ciera Deitchler
• Andrea Kaye Dietzenbach, P.A.
• Marin Ehler, DPT
• Eickert Chiropractic Clinic PLLC (west union chiropractic clinic)
• Cameron John Elmer, DDS
• Gabrielle Icele Flynt, DNP, CNP, ACNPC-AG
• Keisha Formanek, COTA/L
• Jennifer Brekke Fuentes, PT
• Garvin Moser LLC (Stoney Brook Village)
• Good Samaritan Center

• Case Management Agency in West Union, IA
• Providers in West Union, IA by specialty
• Case Management Agency in Iowa

• 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.