Organization
DHS-TARGETED CASE MANAGEMENT
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DIANE DIAMOND (BUREAU CHIEF)
(515) 281-7156
Entity
Organization
Contact information
Practice address
400 SW 8TH ST, SUITE Q, DES MOINES, IA 50309-4619
(515) 281-7775
(515) 281-3234
Mailing address
400 SW 8TH ST, SUITE Q, DES MOINES, IA 50309-4619
(515) 281-7775
(515) 281-3234
Taxonomy
Speciality
Code
Description
License number
State
251B00000X
Case Management Agency
Primary
—
IA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1054007
—
IA
05
—
2054007
—
IA
05
—
3054007
—
IA
05
—
4054007
—
IA
05
—
5054007
—
IA
05
—
6054007
—
IA
01
—
743096
MAGELLAN BEHAVIORAL CARE OF IOWA
IA
05
—
8054007
—
IA
Enumeration date
11/23/2009
Last updated
11/23/2009
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