Organization
QUALITY CASE MANAGEMENT, IN.C
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. GARY T CORCORAN M.S. (OWNER)
(507) 437-9085
Entity
Organization
Contact information
Practice address
203 10TH AVE NW, AUSTIN, MN 55912-2909
(507) 437-9085
(507) 437-2393
Mailing address
203 10TH AVE NW, AUSTIN, MN 55912-2909
(507) 437-9085
(507) 437-2393
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
LP3552
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
385734401
—
MN
05
—
871824500
—
MN
Enumeration date
10/19/2006
Last updated
06/16/2008
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