Provider Demographics
NPI:1821148875
Name:FLOYD COUNTY CASE MANAGEMENT
Entity Type:Organization
Organization Name:FLOYD COUNTY CASE MANAGEMENT
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CASE MANAGMENT DIRECTOR
Authorized Official - Prefix:MR
Authorized Official - First Name:BOB
Authorized Official - Middle Name:
Authorized Official - Last Name:LINCOLN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:641-257-6363
Mailing Address - Street 1:1206 S MAIN ST
Mailing Address - Street 2:STE D
Mailing Address - City:CHARLES CITY
Mailing Address - State:IA
Mailing Address - Zip Code:50616-3435
Mailing Address - Country:US
Mailing Address - Phone:641-257-6363
Mailing Address - Fax:641-228-6439
Practice Address - Street 1:1206 S MAIN ST
Practice Address - Street 2:STE D
Practice Address - City:CHARLES CITY
Practice Address - State:IA
Practice Address - Zip Code:50616-3435
Practice Address - Country:US
Practice Address - Phone:641-257-6363
Practice Address - Fax:641-228-6439
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-01-11
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
IA0083725Medicaid
IA0262899Medicaid
IA0741835Medicaid