# FREMONT COUNTY COMMUNITY SERVICES

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1265582589
- **Authorized official:** MS. SANDRA SILLERS CPC (CPC & CASE MANAGEMENT SUPERVISOR)
- **Authorized official phone:** (712) 374-3075

## Contact information

- **Practice address:** 414 CLAY, SIDNEY, IA 51652
- **Practice address phone:** (712) 374-3075
- **Practice address fax:** (712) 374-6119
- **Mailing address:** 414 CLAY, PO BOX 540, SIDNEY, IA 51652-0540
- **Mailing address phone:** (712) 374-3075
- **Mailing address fax:** (712) 374-6119

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 171M00000X | Case Manager/Care Coordinator | — | IA | Yes |

## Other

- **Enumeration date:** 01/11/2007
- **Last updated:** 08/22/2020

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 0189654 | — | IA |
| 05 | — | 0190793 | — | IA |