Organization
21ST CENTURY REHAB PC
Active
Parent organization
21ST CENTURY REHAB PC
Organization subpart
Yes
Provider details
NPI number
Legal business name
21ST CENTURY REHAB PC
Authorized official
MICHELLE R CASSABAUM (CFO)
(515) 382-3366
Entity
Organization
Contact information
Practice address
209 W 2ND ST, MADRID, IA 50156-1211
(515) 795-2427
(515) 795-2482
Mailing address
PO BOX 461, NEVADA, IA 50201-0461
(515) 382-3366
(515) 382-1576
Taxonomy
Speciality
Code
Description
License number
State
261QR0400X
Rehabilitation Clinic/Center
Primary
—
IA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0665596
—
IA
01
—
66559
WELLMARK BCBS
IA
Enumeration date
06/10/2008
Last updated
02/27/2025
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