Provider Demographics
NPI:1528270600
Name:ADAMS-TAYLOR-UNION COUNTY CASE MANAGEMENT
Entity type:Organization
Organization Name:ADAMS-TAYLOR-UNION COUNTY CASE MANAGEMENT
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CASE MANAGEMENT ADMIN
Authorized Official - Prefix:MS
Authorized Official - First Name:LORI
Authorized Official - Middle Name:
Authorized Official - Last Name:NOSEKABEL
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:712-525-1337
Mailing Address - Street 1:900 BENTON
Mailing Address - Street 2:
Mailing Address - City:CORNING
Mailing Address - State:IA
Mailing Address - Zip Code:50841
Mailing Address - Country:US
Mailing Address - Phone:641-322-4203
Mailing Address - Fax:641-322-4384
Practice Address - Street 1:900 BENTON
Practice Address - Street 2:
Practice Address - City:CORNING
Practice Address - State:IA
Practice Address - Zip Code:50841
Practice Address - Country:US
Practice Address - Phone:641-322-4203
Practice Address - Fax:641-322-4384
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-05-03
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IA251B00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251B00000XAgenciesCase Management
Provider Identifiers
StateIdentifier IDID TypeIssuer
IA0194043Medicaid
IA0061929Medicaid