Provider Demographics
NPI:1316949993
Name:ABCM CORPORATION
Entity type:Organization
Organization Name:ABCM CORPORATION
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:
Authorized Official - First Name:RICHARD
Authorized Official - Middle Name:A
Authorized Official - Last Name:ALLBEE
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:641-456-5636
Mailing Address - Street 1:1320 4TH ST NE
Mailing Address - Street 2:
Mailing Address - City:HAMPTON
Mailing Address - State:IA
Mailing Address - Zip Code:50441-1104
Mailing Address - Country:US
Mailing Address - Phone:641-456-5636
Mailing Address - Fax:641-456-2320
Practice Address - Street 1:404 1ST ST
Practice Address - Street 2:
Practice Address - City:BATTLE CREEK
Practice Address - State:IA
Practice Address - Zip Code:51006-9425
Practice Address - Country:US
Practice Address - Phone:712-365-4332
Practice Address - Fax:712-365-4855
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2005-08-12
Last Update Date:2011-10-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IA470995314000000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes314000000XNursing & Custodial Care FacilitiesSkilled Nursing Facility
Provider Identifiers
StateIdentifier IDID TypeIssuer
IA65342OtherWELLMARK
IA0804690Medicaid
IA0804690Medicaid