Organization
TAMA COUNTY CASE MANAGEMENT
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. TODD RICKERT (CPC ADMINISTRATOR)
(641) 484-4191
Entity
Organization
Contact information
Practice address
211 W. STATE ST., TOLEDO, IA 52342
(641) 484-4191
(641) 484-8636
Mailing address
211 W. STATE ST., TOLEDO, IA 52342
(641) 484-4191
(641) 484-8636
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0147462
—
IA
05
—
0173062
—
IA
Enumeration date
01/08/2007
Last updated
08/22/2020
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