Organization
FREMONT COUNTY COMMUNITY SERVICES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. SANDRA SILLERS CPC (CPC & CASE MANAGEMENT SUPERVISOR)
(712) 374-3075
Entity
Organization
Contact information
Practice address
414 CLAY, SIDNEY, IA 51652
(712) 374-3075
(712) 374-6119
Mailing address
414 CLAY, PO BOX 540, SIDNEY, IA 51652-0540
(712) 374-3075
(712) 374-6119
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
IA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0189654
—
IA
05
—
0190793
—
IA
Enumeration date
01/11/2007
Last updated
08/22/2020
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