Provider Demographics
NPI:1194251975
Name:MADISON COUNTY SERVICE COORDINATION INC
Entity type:Organization
Organization Name:MADISON COUNTY SERVICE COORDINATION INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:SERVICE COORDINATION DIRECTOR
Authorized Official - Prefix:
Authorized Official - First Name:ELIZABETH
Authorized Official - Middle Name:
Authorized Official - Last Name:BAUGH
Authorized Official - Suffix:
Authorized Official - Credentials:LMSW
Authorized Official - Phone:573-783-4451
Mailing Address - Street 1:610 S CHAMBER DR STE B
Mailing Address - Street 2:
Mailing Address - City:FREDERICKTOWN
Mailing Address - State:MO
Mailing Address - Zip Code:63645-1742
Mailing Address - Country:US
Mailing Address - Phone:573-783-4451
Mailing Address - Fax:573-783-3665
Practice Address - Street 1:610 S CHAMBER DR STE B
Practice Address - Street 2:
Practice Address - City:FREDERICKTOWN
Practice Address - State:MO
Practice Address - Zip Code:63645-1742
Practice Address - Country:US
Practice Address - Phone:573-783-4451
Practice Address - Fax:573-783-3665
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2017-05-11
Last Update Date:2017-05-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251B00000XAgenciesCase Management