Provider Demographics
NPI:1700963576
Name:CHOICE, INC
Entity Type:Organization
Organization Name:CHOICE, INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CFO
Authorized Official - Prefix:MR
Authorized Official - First Name:CONRAD
Authorized Official - Middle Name:
Authorized Official - Last Name:WILKINSON
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:641-322-3291
Mailing Address - Street 1:600 8TH ST
Mailing Address - Street 2:PO BOX 409
Mailing Address - City:CORNING
Mailing Address - State:IA
Mailing Address - Zip Code:50841-1406
Mailing Address - Country:US
Mailing Address - Phone:641-322-3291
Mailing Address - Fax:641-322-4370
Practice Address - Street 1:600 8TH ST
Practice Address - Street 2:
Practice Address - City:CORNING
Practice Address - State:IA
Practice Address - Zip Code:50841-1406
Practice Address - Country:US
Practice Address - Phone:641-322-3434
Practice Address - Fax:641-322-4370
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-11-01
Last Update Date:2023-08-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251S00000XAgenciesCommunity/Behavioral Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
IA0470484Medicaid
IA0491613Medicaid
IA0739110Medicaid