# TAMA COUNTY CASE MANAGEMENT

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

## Provider details

- **NPI number:** 1528116209
- **Authorized official:** MR. TODD RICKERT (CPC ADMINISTRATOR)
- **Authorized official phone:** (641) 484-4191

## Contact information

- **Practice address:** 211 W. STATE ST., TOLEDO, IA 52342
- **Practice address phone:** (641) 484-4191
- **Practice address fax:** (641) 484-8636
- **Mailing address:** 211 W. STATE ST., TOLEDO, IA 52342
- **Mailing address phone:** (641) 484-4191
- **Mailing address fax:** (641) 484-8636

## Taxonomy

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

## Other

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

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 0147462 | — | IA |
| 05 | — | 0173062 | — | IA |