Provider Demographics
NPI:1932329851
Name:RINGGOLD COUNTY SUPPORTIVE SERVICES
Entity Type:Organization
Organization Name:RINGGOLD COUNTY SUPPORTIVE SERVICES
Other - Org Name:RCSS
Other - Org Type:Other Name
Authorized Official - Title/Position:DIRECTOR
Authorized Official - Prefix:MRS
Authorized Official - First Name:CATHY
Authorized Official - Middle Name:C
Authorized Official - Last Name:MCGAHUEY
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:641-464-2067
Mailing Address - Street 1:507 S HENDERSON DR
Mailing Address - Street 2:
Mailing Address - City:MOUNT AYR
Mailing Address - State:IA
Mailing Address - Zip Code:50854-2249
Mailing Address - Country:US
Mailing Address - Phone:641-464-2067
Mailing Address - Fax:641-464-2068
Practice Address - Street 1:507 S HENDERSON DR
Practice Address - Street 2:
Practice Address - City:MOUNT AYR
Practice Address - State:IA
Practice Address - Zip Code:50854-2249
Practice Address - Country:US
Practice Address - Phone:641-464-2067
Practice Address - Fax:641-464-2068
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-04-26
Last Update Date:2007-09-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251C00000XAgenciesDay Training, Developmentally Disabled Services
Provider Identifiers
StateIdentifier IDID TypeIssuer
IA0742999Medicaid