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Organization

COUNTY COMMUNITY SERVICES

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MR. JOHN GRUSH (CPC)
(515) 433-0593
Entity
Organization

Contact information

Practice address
900 W 3RD ST, BOONE, IA 50036-3914
(515) 433-0593
(515) 432-2480
Mailing address
900 W 3RD ST, BOONE, IA 50036-3914
(515) 433-0593
(515) 432-2480

Taxonomy

Speciality
Code
Description
License number
State
251B00000X
Case Management Agency
Primary

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
0490656
IA
05
0490664
IA
Enumeration date
06/23/2006
Last updated
08/22/2020
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