Provider Demographics
NPI:1225167422
Name:JONES COUNTY COMMUNITY SERVICES
Entity Type:Organization
Organization Name:JONES COUNTY COMMUNITY SERVICES
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:ADMINISTRATOR
Authorized Official - Prefix:
Authorized Official - First Name:DEBORAH
Authorized Official - Middle Name:JEAN
Authorized Official - Last Name:SCHULTZ
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:319-426-4457
Mailing Address - Street 1:500 W MAIN ST
Mailing Address - Street 2:COURTHOUSE ROOM 8
Mailing Address - City:ANAMOSA
Mailing Address - State:IA
Mailing Address - Zip Code:52205-1632
Mailing Address - Country:US
Mailing Address - Phone:319-462-4457
Mailing Address - Fax:319-462-5804
Practice Address - Street 1:500 W MAIN ST
Practice Address - Street 2:COURTHOUSE ROOM 8
Practice Address - City:ANAMOSA
Practice Address - State:IA
Practice Address - Zip Code:52205-1632
Practice Address - Country:US
Practice Address - Phone:319-462-4457
Practice Address - Fax:319-462-5804
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-03-05
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IA171M00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes171M00000XOther Service ProvidersCase Manager/Care CoordinatorGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
IA0064915Medicaid
IA0725929Medicaid