Organization Active NPI

Coordinated Care Services

  • Case Management Agency
  • Pocatello, ID
National Provider Identifier
1972771392
Registry record updated Apr 20, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Case Management AgencyTaxonomy code 251B00000X
Legal business name
COORDINATED CARE SERVICES
Practice address
250 N 5TH Ave
Suite E
Pocatello, ID 83201-6278
Phone
(208) 478-1353
Fax
(208) 478-1957
NPI assigned
Feb 19, 2008
Last updated
Apr 20, 2008By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 20, 2008

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

Authorized official

Name
Ms. Melinda B Jahsman, M.H.E.
Title
General Partner
Phone
(208) 478-1353

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Case Management Agency 251B00000X Primary

Addresses

Primary practice location

250 N 5TH Ave
Suite E
Pocatello, ID 83201-6278

Mailing address

250 N 5TH Ave
Suite E
Pocatello, ID 83201-6278
Phone (208) 478-1353

National Provider Directory

National Provider Directory

Locations

250 N 5th Ave
Ste E
Pocatello, ID 83201
Phone (208) 705-4630

NPI Registry JSON

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

{
    "created_epoch": "1203379200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1208649600000",
    "number": "1972771392",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "250 N 5TH AVE",
            "address_2": "SUITE E",
            "city": "POCATELLO",
            "state": "ID",
            "postal_code": "832016278",
            "telephone_number": "208-478-1353",
            "fax_number": "208-478-1957"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "250 N 5TH AVE",
            "address_2": "SUITE E",
            "city": "POCATELLO",
            "state": "ID",
            "postal_code": "832016278",
            "telephone_number": "208-478-1353",
            "fax_number": "208-478-1957"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COORDINATED CARE SERVICES",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-02-19",
        "last_updated": "2008-04-20",
        "status": "A",
        "authorized_official_last_name": "JAHSMAN",
        "authorized_official_first_name": "MELINDA",
        "authorized_official_middle_name": "B",
        "authorized_official_title_or_position": "GENERAL PARTNER",
        "authorized_official_telephone_number": "208-478-1353",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "M.H.E."
    },
    "taxonomies": [
        {
            "code": "251B00000X",
            "taxonomy_group": "",
            "desc": "Case Management",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Pocatello, ID

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 20, 2008; 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.