Organization
CHICKASAW-MITCHELL COUNTY CASE MANAGEMENT
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SHEILA KOBLISKA (CASE MANAGEMENT SUPERVISOR)
(641) 394-3426
Entity
Organization
Contact information
Practice address
24 N CHESTNUT AVE, NEW HAMPTON, IA 50659-1349
(641) 394-3426
Mailing address
PO BOX 229, NEW HAMPTON, IA 50659-0229
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0062976
—
IA
05
—
0440461
—
IA
05
—
283868000
—
IA
Enumeration date
01/15/2007
Last updated
09/25/2012
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