Provider Demographics
NPI:1427368901
Name:JASPER COUNTY CASE MANAGEMENT
Entity Type:Organization
Organization Name:JASPER COUNTY CASE MANAGEMENT
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:JASPER CO. SOCIAL SERVICES DIRECTOR
Authorized Official - Prefix:
Authorized Official - First Name:RENAE
Authorized Official - Middle Name:ANNETTE
Authorized Official - Last Name:NORTHCUTT
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:641-791-3434
Mailing Address - Street 1:115 N 2ND AVE E
Mailing Address - Street 2:
Mailing Address - City:NEWTON
Mailing Address - State:IA
Mailing Address - Zip Code:50208-3241
Mailing Address - Country:US
Mailing Address - Phone:641-791-3434
Mailing Address - Fax:641-787-1302
Practice Address - Street 1:115 N 2ND AVE E
Practice Address - Street 2:
Practice Address - City:NEWTON
Practice Address - State:IA
Practice Address - Zip Code:50208-3241
Practice Address - Country:US
Practice Address - Phone:641-791-3434
Practice Address - Fax:641-787-1302
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2010-10-18
Last Update Date:2010-10-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251B00000XAgenciesCase Management