Provider Demographics
NPI:1669552311
Name:MAHASKA COUNTY CASE MANAGEMENT
Entity type:Organization
Organization Name:MAHASKA COUNTY CASE MANAGEMENT
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CASE MGMT. SUPERVISOR
Authorized Official - Prefix:
Authorized Official - First Name:JOLEEN
Authorized Official - Middle Name:
Authorized Official - Last Name:ARNOLD
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:641-672-2625
Mailing Address - Street 1:106 S 1ST ST
Mailing Address - Street 2:COURTHOUSE BOX 3
Mailing Address - City:OSKALOOSA
Mailing Address - State:IA
Mailing Address - Zip Code:52577-3101
Mailing Address - Country:US
Mailing Address - Phone:641-672-2625
Mailing Address - Fax:641-676-1053
Practice Address - Street 1:106 S 1ST ST
Practice Address - Street 2:COURTHOUSE BOX 3
Practice Address - City:OSKALOOSA
Practice Address - State:IA
Practice Address - Zip Code:52577-3101
Practice Address - Country:US
Practice Address - Phone:641-672-2625
Practice Address - Fax:641-676-1053
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-10-17
Last Update Date:2007-09-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251B00000XAgenciesCase Management
Provider Identifiers
StateIdentifier IDID TypeIssuer
IA0237487Medicaid
IA0763243Medicaid
IA0100347Medicaid