Provider Demographics
NPI:1083835862
Name:WEBSTER COUNTY CASE MANAGEMENT
Entity Type:Organization
Organization Name:WEBSTER COUNTY CASE MANAGEMENT
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DIRECTOR
Authorized Official - Prefix:
Authorized Official - First Name:IRENE
Authorized Official - Middle Name:E
Authorized Official - Last Name:BLAIR
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:515-573-1485
Mailing Address - Street 1:602 3RD AVE N
Mailing Address - Street 2:
Mailing Address - City:FORT DODGE
Mailing Address - State:IA
Mailing Address - Zip Code:50501-3824
Mailing Address - Country:US
Mailing Address - Phone:515-573-1485
Mailing Address - Fax:515-573-1487
Practice Address - Street 1:602 3RD AVE N
Practice Address - Street 2:
Practice Address - City:FORT DODGE
Practice Address - State:IA
Practice Address - Zip Code:50501-3824
Practice Address - Country:US
Practice Address - Phone:515-573-1485
Practice Address - Fax:515-573-1487
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-05-01
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IA0208942251B00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251B00000XAgenciesCase Management